DR. La Juana Delise Bragdon, DDS

NPI #1912034687 in Florissant, Missouri

Provider Information

NPI Number: 1912034687
Entity Type: Individual
Name: DR. La Juana Delise Bragdon, DDS
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist
Credential: DDS
Enumeration Date: Feb 28, 2007
Last Updated: Jul 30, 2008

Practice Location

Address: 565 HOWDERSHELL RD.
City: Florissant
State: Missouri
ZIP Code: 63031
Phone: (314) 249-9975

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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