HARRY JEROME FONDREN

SAINT LOUIS, MO
NPI1972706158
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist General Practice
(Licence: MO  12216)
Enumeration Date2007-06-06
Last Update Date2007-07-08
Business Address
DR. HARRY JEROME FONDREN D.D.S.
7645 DELMAR BLVD
SAINT LOUIS, MO 63130-3910
Phone number: 314-727-6323
Mailing Address
DR. HARRY JEROME FONDREN D.D.S.
7645 DELMAR BLVD.
SAINT LOUIS, MO 63130
Phone number: 314-727-6323