Shirley B. Dillard DMD

NPI 1114138260 - Dentist - 1223G0001X

NPI Details
NPI 1114138260
Gender Female
Enumeration Date 05/24/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
7956 PAGE AVE
SAINT LOUIS MO, 63133-1128, US
Phone (314) 862-8822
Fax (314) 862-8822
Business Location
7956 PAGE AVE
SAINT LOUIS MO, 63133-1128, US
Phone (314) 862-8822
Fax (314) 862-8822
Toxanomy
Taxonomy Code 1223G0001X
License State Missouri
License Number 013634
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According to our database, Dr. Shirley B. Dillard DMD NPI is 1114138260, taxonomy code is 1223G0001X and license number is 013634, license state is located at Missouri. Shirley B. Dillard DMD physically located at 7956 Page Ave, Saint Louis MO, 63133-1128. NPI Number Shirley B. Dillard DMD has the Individual type.

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1114138260 NPI number is provided on an as is basis without warranty of any kind. 1114138260 is maintained by the National Plan & Provider Enumeration System. The contents of Shirley B. Dillard DMD are for informational purposes only.