| Edward F. Tate D.d.s., P.c. | |
|
333 S Kirkwood Rd Ste 105 Kirkwood MO 63122-6161 | |
| (314) 909-9200 | |
| (314) 909-9212 |
| Full Name | Edward F. Tate D.d.s., P.c. |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 333 S Kirkwood Rd, Kirkwood, Missouri |
| Authorized Official Name and Position | Edward F Tate (OWNER/PRESIDENT) |
| Authorized Official Contact | 3148309400 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Edward F. Tate D.d.s., P.c. 333 S Kirkwood Rd Ste 105 Kirkwood MO 63122-6161 Ph: (314) 909-9200 | Edward F. Tate D.d.s., P.c. 333 S Kirkwood Rd Ste 105 Kirkwood MO 63122-6161 Ph: (314) 909-9200 |
| NPI Number | 1558559948 |
|---|---|
| Provider Enumeration Date | 10/10/2007 |
| Last Update Date | 07/23/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558559948 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 011124 (Missouri) | Primary |
Barry D Brace, Dmd & Associates, Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 469 S Kirkwood Rd, Kirkwood, MO 63122 Phone: 314-965-6503 Fax: 314-965-7417 | |
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