NUMPOL DEJTIRANUKUL DMD LLC is a general practice dentist in O Fallon, MO. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. NUMPOL DEJTIRANUKUL DMD LLC NPI is 1043479215. The provider is registered as an organization entity type and is a single specialty group.
The provider's business location address is:
4122 KEATON CROSSING BLVD
SUITE 101
O FALLON, MO
ZIP 63368-218
Phone: (636) 300-4280
The provider's authorized official is Numpol Dejtiranukul .
The authorized official title is Single Member and has the following contact phone number (636) 300-4280.
The enumeration date for this NPI number is 6/3/2008 and was last updated on 6/3/2008.