MALCOLM YOUNGBLOOD

SAINT PETERS, MO
NPI1114627536
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy122300000X Dentist
(Licence: MO  2023042941)
Additional Taxonomies122300000X Dentist
(Licence: LA  7477)
Enumeration Date2023-03-06
Last Update Date2024-05-29
Business Address
Dr. MALCOLM YOUNGBLOOD DDS
5863 SUEMANDY DR
SAINT PETERS, MO 63376-4327
Phone number: 636-674-8079
Mailing Address
Dr. MALCOLM YOUNGBLOOD DDS
5863 SUEMANDY DR
SAINT PETERS, MO 63376-4327
Phone number: 636-674-8079