Derek Vadnal, DMD Valid NPI
Individual provider · General Practice Dentistry · Bridgeton, MO
- NPI
- 1427074020
- Type
- Individual (Type 1)
- Primary specialty
- General Practice Dentistry (Dentist)
- Specialty group
- Dental Providers
- Taxonomy code
- 1223G0001X
- License number
- 2008008592 (MO)
- Sex
- Male
- Sole proprietor
- Yes
- Enumerated
- 2006-07-15
- Last updated
- 2022-01-05
Practice location
12105 Bridgeton Sq
Bridgeton, MO 63044-2616
(314) 298-7772