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4585 Washington St B-1 Florissant MO 63033-5858 | |
| (314) 921-0100 | |
| (314) 839-3464 |
| Full Name | |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 4585 Washington St, Florissant, Missouri |
| Authorized Official Name and Position | Ali Badihi (PRESIDENT) |
| Authorized Official Contact | 3149210100 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
4585 Washington St B-1 Florissant MO 63033-5858 Ph: (314) 921-0100 | 4585 Washington St B-1 Florissant MO 63033-5858 Ph: (314) 921-0100 |
| NPI Number | 1245229756 |
|---|---|
| Provider Enumeration Date | 10/18/2005 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245229756 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 15356 (Missouri) | Primary |
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