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3208 N Highway 67 Florissant MO 63033-1646 | |
(314) 799-9470 | |
(314) 837-4716 |
Full Name | |
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Speciality | Dentist |
Location | 3208 N Highway 67, Florissant, Missouri |
Authorized Official Name and Position | Kamlesh R Makwana (OWNER) |
Authorized Official Contact | 3147249700 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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3208 N Highway 67 Florissant MO 63033-1646 Ph: (314) 799-9470 | 3208 N Highway 67 Florissant MO 63033-1646 Ph: (314) 799-9470 |
NPI Number | 1598177685 |
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Provider Enumeration Date | 05/23/2014 |
Last Update Date | 05/23/2014 |
Identifier | Type | State | Issuer |
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1598177685 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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122300000X | Dentist | 015863 (Missouri) | Primary |
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