| Blake Ferando Dmd Llc | |
|
346 Fort Zumwalt Sq O Fallon MO 63366-3065 | |
| (636) 978-6400 | |
| Not Available |
| Full Name | Blake Ferando Dmd Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 346 Fort Zumwalt Sq, O Fallon, Missouri |
| Authorized Official Name and Position | Blake Anthony Ferando (DOCTOR) |
| Authorized Official Contact | 6369786400 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Blake Ferando Dmd Llc 346 Fort Zumwalt Sq O Fallon MO 63366-3065 Ph: (636) 978-6400 | Blake Ferando Dmd Llc 346 Fort Zumwalt Sq O Fallon MO 63366-3065 Ph: (636) 978-6400 |
| NPI Number | 1750868915 |
|---|---|
| Provider Enumeration Date | 07/20/2018 |
| Last Update Date | 07/20/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750868915 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 2018015357 (Missouri) | Primary |
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