Missouri
Division of Professional Registration
Children's Dental Zone
Dental - Deep Sedation/General Anesthesia Site Certificate
License number
2009000240
Date granted
01/07/2009
Date expires
06/01/2014
Class
Dental - Deep Sedation/General Anesthesia Site Certificate
Status
Clear
Address
13410 New Halls Ferry Road
licensingmissouri.org
ID 2043138
LAST UPDATED 2026-06-12 06:50:18 UTC
LAST UPDATED 2026-06-12 06:50:18 UTC
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