Bdd of Missouri P.c.
NPI #1699552869 in Chesterfield, Missouri
Provider Information
- NPI Number
- 1699552869
- Entity Type
- Organization
- Organization Name
- Bdd of Missouri P.c.
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Sep 12, 2023
- Last Updated
- Dec 11, 2024
Practice Location
- Address
- 2 WEST DR STE 120
- City
- Chesterfield
- State
- Missouri
- ZIP Code
- 63017-1843
- Phone
- (636) 660-0490
Authorized Official
- Name
- STEPHANIE MOORE
- Title
- DIRECTOR OF REVENUE CYCLE
- Phone
- (832) 704-4262
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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