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1770852741
MICHAEL VINCENT PURCELL
BALLWIN, MO
NPI
1770852741
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics
(Licence: MO 11808)
Enumeration Date
2011-12-21
Last Update Date
2011-12-21
Business Address
Dr. MICHAEL VINCENT PURCELL dds
923 MANSIONHILL DR
BALLWIN, MO 63011-2821
Phone number: 636-285-2648
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Mailing Address
Dr. MICHAEL VINCENT PURCELL dds
PO BOX 537
CEDAR HILL, MO 63016-0537
Phone number: 636-285-2648
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