St. Louis University
NPI #1053467746 in Saint Louis, Missouri
Provider Information
- NPI Number
- 1053467746
- Entity Type
- Organization
- Organization Name
- St. Louis University
- Primary Specialty
- Clinic/Center - Dental
- Enumeration Date
- Jan 26, 2007
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 3320 RUTGER ST
- City
- Saint Louis
- State
- Missouri
- ZIP Code
- 63104-1122
- Phone
- (314) 977-8363
Authorized Official
- Name
- DR. ROLF G BEHRENTS, DDS, MS, PHD
- Title
- CADE EXECUTIVE DIRECTOR
- Phone
- (314) 977-8600
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Dental — Dental |
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