Erin Corsi Fraundorf, DMD, MS Valid NPI

Individual provider · Orthodontics and Dentofacial Orthopedics Dentistry · O'Fallon, MO

NPI

1972079556

Type

Individual (Type 1)

Primary specialty

Orthodontics and Dentofacial Orthopedics Dentistry (Dentist)

Specialty group

Dental Providers

Taxonomy code

1223X0400X

License number

2017000641 (MO)

Sex

Female

Sole proprietor

No

Enumerated

2018-10-22

Last updated

2018-10-22