| Southwest Endodontic Assoc. | |
|
6651 Chippewa Suite 323 St. Louis MO 63109 | |
| (314) 781-1919 | |
| (314) 781-0880 |
| Full Name | Southwest Endodontic Assoc. |
|---|---|
| Speciality | Dentist - Endodontics |
| Location | 6651 Chippewa, St. Louis, Missouri |
| Authorized Official Name and Position | Gilbert J Cyr (OWNER) |
| Authorized Official Contact | 3147811919 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Southwest Endodontic Assoc. 6651 Chippewa Ste 323 St. Louis MO 63109 Ph: (314) 781-1919 | Southwest Endodontic Assoc. 6651 Chippewa Suite 323 St. Louis MO 63109 Ph: (314) 781-1919 |
| NPI Number | 1417218249 |
|---|---|
| Provider Enumeration Date | 06/07/2012 |
| Last Update Date | 06/07/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417218249 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223E0200X | Dentist - Endodontics | 14082 (Maryland) | Primary |
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