South County Dental Imaging Center
NPI #1053647008 in Saint Louis, Missouri
Provider Information
- NPI Number
- 1053647008
- Entity Type
- Organization
- Organization Name
- South County Dental Imaging Center
- Primary Specialty
- Clinic/Center - Radiology
- Enumeration Date
- Oct 27, 2009
- Last Updated
- Oct 27, 2009
Practice Location
- Address
- 12818 TESSON FERRY RD
- Address 2
- SUITE 204
- City
- Saint Louis
- State
- Missouri
- ZIP Code
- 63128-2945
- Phone
- (314) 722-2033
Authorized Official
- Name
- DR. JOHN R MONTERUBIO SR., DDS
- Title
- PRESIDENT
- Phone
- (314) 721-1010
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Radiology — Radiology |
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