La Cross Dental

NPI #1952702821 in Florissant, Missouri

Provider Information

NPI Number: 1952702821
Entity Type: Organization
Organization Name: La Cross Dental
Primary Specialty: Dentist
Enumeration Date: Sep 10, 2014
Last Updated: Sep 10, 2014

Practice Location

Address: 11634 W FLORISSANT AVE
City: Florissant
State: Missouri
ZIP Code: 63033-6723
Phone: (314) 322-4719

Authorized Official

Name: DR. DAVID GUILBEAULT, DMD
Title: OWNER
Phone: (618) 692-1110

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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