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1114627536
MALCOLM YOUNGBLOOD
SAINT PETERS, MO
NPI
1114627536
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
122300000X Dentist
(Licence: MO 2023042941)
Additional Taxonomies
122300000X Dentist
(Licence: LA 7477)
Enumeration Date
2023-03-06
Last Update Date
2024-05-29
Business Address
Dr. MALCOLM YOUNGBLOOD DDS
5863 SUEMANDY DR
SAINT PETERS, MO 63376-4327
Phone number: 636-674-8079
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Mailing Address
Dr. MALCOLM YOUNGBLOOD DDS
5863 SUEMANDY DR
SAINT PETERS, MO 63376-4327
Phone number: 636-674-8079
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