| Na Niewdach Inc | |
|
11648 Manchester Rd Des Peres MO 63131-4612 | |
| (314) 394-2828 | |
| Not Available |
| Full Name | Na Niewdach Inc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 11648 Manchester Rd, Des Peres, Missouri |
| Authorized Official Name and Position | Nicole Niewdach (OWNER) |
| Authorized Official Contact | 3143942828 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Na Niewdach Inc 11648 Manchester Rd Des Peres MO 63131-4612 Ph: () - | Na Niewdach Inc 11648 Manchester Rd Des Peres MO 63131-4612 Ph: (314) 394-2828 |
| NPI Number | 1184196305 |
|---|---|
| Provider Enumeration Date | 12/28/2018 |
| Last Update Date | 12/28/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184196305 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
Ccs Smiles Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 11941 Manchester Rd, Des Peres, MO 63131 Phone: 314-501-8300 Fax: 314-462-1844 |