MARK HUMPHREY

SAINT LOUIS, MO
NPI1023556743
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics
(Licence: MO  2014016805)
Enumeration Date2017-02-01
Last Update Date2017-02-01
Business Address
Dr. MARK HUMPHREY D.D.S., M.S.
8657 OLD BONHOMME RD
SAINT LOUIS, MO 63132-3901
Phone number: 636-734-6896
Mailing Address
Dr. MARK HUMPHREY D.D.S., M.S.
8657 OLD BONHOMME RD
SAINT LOUIS, MO 63132-3901
Phone number: 636-734-6896
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