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1356652184
JUSTIN SHORT
TROY, MO
NPI
1356652184
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
122300000X Dentist
(Licence: MO 2005026026)
Enumeration Date
2010-06-26
Last Update Date
2010-06-26
Business Address
Dr. JUSTIN SHORT dmd
395 E CHERRY ST
TROY, MO 63379-1405
Phone number: 636-462-8599
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Mailing Address
Dr. JUSTIN SHORT dmd
395 E CHERRY ST
TROY, MO 63379-1405
Phone number: 636-462-8599
Copy
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