Towne Centre Dental Care

NPI #1053817866 in Chesterfield, Missouri

Provider Information

NPI Number: 1053817866
Entity Type: Organization
Organization Name: Towne Centre Dental Care
Subpart: Yes (part of a larger organization)
Parent Organization: SOH OF MISSOURI SAMSON LIU PC
Primary Specialty: Dentist
Enumeration Date: Apr 2, 2018
Last Updated: Apr 2, 2018

Practice Location

Address: 132 CHESTERFIELD TOWNE CTR
City: Chesterfield
State: Missouri
ZIP Code: 63005-1230
Phone: (636) 733-2363

Authorized Official

Name: MR. RAYMOND WEBER
Title: REGIONAL SUPPORT SPECIALIST
Phone: (314) 753-8154

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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