| Giganti Dental | |
|
317 Elmgrove Ave Hazelwood MO 63042-2036 | |
| (314) 839-2824 | |
| Not Available |
| Full Name | Giganti Dental |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 317 Elmgrove Ave, Hazelwood, Missouri |
| Authorized Official Name and Position | Andrea Rae Theohar (OFFICE MANAGER) |
| Authorized Official Contact | 3148392824 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Giganti Dental 317 Elmgrove Ave Hazelwood MO 63042-2036 Ph: (314) 839-2824 | Giganti Dental 317 Elmgrove Ave Hazelwood MO 63042-2036 Ph: (314) 839-2824 |
| NPI Number | 1891114096 |
|---|---|
| Provider Enumeration Date | 04/15/2014 |
| Last Update Date | 04/15/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891114096 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 2011027046 (Missouri) | Primary |
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