NICOLE NIEWDACH

SAINT LOUIS, MO
NPI1427216597
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy122300000X Dentist
(Licence: MO  2008013576)
Enumeration Date2008-05-27
Last Update Date2015-06-23
Business Address
-- NICOLE NIEWDACH DDS
11648 MANCHESTER RD
SAINT LOUIS, MO 63131-4612
Phone number: 314-394-2828
Mailing Address
-- NICOLE NIEWDACH DDS
11648 MANCHESTER RD
SAINT LOUIS, MO 63131-4612
Phone number: 314-394-2828
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