Jessica J. Lavalle, DMD

NPI #1699905547 in Creve Coeur, Missouri

Provider Information

NPI Number: 1699905547
Entity Type: Individual
Name: Jessica J. Lavalle, DMD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist - General Practice
Credential: DMD
Enumeration Date: Jul 24, 2009
Last Updated: Jul 21, 2022

Practice Location

Address: 11437 OLIVE BLVD
City: Creve Coeur
State: Missouri
ZIP Code: 63141-7108
Phone: (314) 355-2000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X
Dentist - General Practice — General Practice	1223G0001X	Primary

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