JESSICA LAVALLE, DMD
Dentist - General Practice
Active
Individual
NPI: 1699905547
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Dentist | 122300000X | No | 019028092 (IL) |
| Dentist - General Practice | 1223G0001X | Yes | 2011014087 (MO) |
Frequently Asked Questions
NPI 1699905547 is the National Provider Identifier for JESSICA LAVALLE, DMD, a Dentist - General Practice provider located in Creve Coeur, MO. This NPI was enumerated on July 24, 2009.
JESSICA LAVALLE, DMD practices at 11437 OLIVE BLVD, Creve Coeur, MO 63141.
Quick Facts
- NPI
- 1699905547
- Type
- Individual
- Enumerated
- Jul 24, 2009
- Last Updated
- Jul 21, 2022
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