ACKEILIA K HEATRICE

FLORISSANT, MO
NPI1609003060
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1223P0221X Dentist, Pediatric Dentistry
(Licence: NY  056027-1)
Additional Taxonomies1223P0221X Dentist, Pediatric Dentistry
(Licence: MO  2020013343)
Enumeration Date2009-06-12
Last Update Date2021-02-22
Business Address
Dr. ACKEILIA K HEATRICE DDS
13410 NEW HALLS FERRY RD
FLORISSANT, MO 63033-3035
Phone number: 314-830-9663
Mailing Address
Dr. ACKEILIA K HEATRICE DDS
16721 CLAYTON RD
WILDWOOD, MO 63011-1703
Phone number: