DR. Michael Edlin JR., D.M.D
NPI #1003920174 in Saint Louis, Missouri
Provider Information
- NPI Number
- 1003920174
- Entity Type
- Individual
- Name
- DR. Michael Edlin JR., D.M.D
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Dentist - General Practice
- Credential
- D.M.D
- Enumeration Date
- Aug 18, 2006
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 8000 BONHOMME AVE
- Address 2
- SUITE 306
- City
- Saint Louis
- State
- Missouri
- ZIP Code
- 63105-3515
- Phone
- (314) 863-2222
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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