Shawn Davaie Motlagh Dds Pc | |
1333 W Outer 21 Rd Arnold MO 63010-3239 | |
(636) 333-3304 | |
Not Available |
Full Name | Shawn Davaie Motlagh Dds Pc |
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Speciality | Dentist - General Practice |
Location | 1333 W Outer 21 Rd, Arnold, Missouri |
Authorized Official Name and Position | Shawn Davaie Motlagh (PRESIDENT/OWNER) |
Authorized Official Contact | 9493079144 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Shawn Davaie Motlagh Dds Pc 1333 W Outer 21 Rd Arnold MO 63010-3239 Ph: (636) 333-3304 | Shawn Davaie Motlagh Dds Pc 1333 W Outer 21 Rd Arnold MO 63010-3239 Ph: (636) 333-3304 |
NPI Number | 1861882862 |
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Provider Enumeration Date | 01/28/2015 |
Last Update Date | 01/28/2015 |
Identifier | Type | State | Issuer |
---|---|---|---|
1861882862 | NPI | - | NPPES |
1992137210 | Other | CA | STATE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | 2013041566 (Missouri) | Primary |
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