| Faye E Licata Dmd Fagd Pc | |
|
111 Hilltown Village Center Suite #200 Chesterfield MO 63017 | |
| (636) 532-2101 | |
| (636) 532-2209 |
| Full Name | Faye E Licata Dmd Fagd Pc |
|---|---|
| Speciality | Dentist |
| Location | 111 Hilltown Village Center, Chesterfield, Missouri |
| Authorized Official Name and Position | Faye E Licata (DENTIST OWNER) |
| Authorized Official Contact | 6365322101 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Faye E Licata Dmd Fagd Pc 111 Hilltown Village Center Suite #200 Chesterfield MO 63017 Ph: (636) 532-2101 | Faye E Licata Dmd Fagd Pc 111 Hilltown Village Center Suite #200 Chesterfield MO 63017 Ph: (636) 532-2101 |
| NPI Number | 1033295464 |
|---|---|
| Provider Enumeration Date | 10/27/2006 |
| Last Update Date | 07/22/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033295464 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 015059 (Missouri) | Primary |
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