Mark Andrew Mcclure DDS

NPI 1063636934 - Dentist - 1223G0001X

NPI Details
NPI 1063636934
Gender Male
Enumeration Date 04/12/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
12818 TESSON FERRY RD
SUITE 202
SAINT LOUIS MO, 63128-2945, US
Phone (314) 843-3300
Fax (314) 843-3691
Business Location
12818 TESSON FERRY RD
SUITE 202
SAINT LOUIS MO, 63128-2945, US
Phone (314) 843-3300
Fax (314) 843-3691
Toxanomy
Taxonomy Code 1223G0001X
License State Missouri
License Number DE015307
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According to our database, Dr. Mark Andrew Mcclure DDS NPI is 1063636934, taxonomy code is 1223G0001X and license number is DE015307, license state is located at Missouri. Mark Andrew Mcclure DDS physically located at 12818 Tesson Ferry Rd, Saint Louis MO, 63128-2945. NPI Number Mark Andrew Mcclure DDS has the Individual type.

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1063636934 NPI number is provided on an as is basis without warranty of any kind. 1063636934 is maintained by the National Plan & Provider Enumeration System. The contents of Mark Andrew Mcclure DDS are for informational purposes only.