Saint Louis University

NPI #1104377431 in Saint Louis, Missouri

Provider Information

NPI Number
1104377431
Entity Type
Organization
Organization Name
Saint Louis University
Primary Specialty
Clinic/Center - Dental
Enumeration Date
Oct 21, 2016
Last Updated
Oct 21, 2016

Practice Location

Address
3320 RUTGER ST
ZIP Code
63104-1122
Phone
(314) 977-7336

Authorized Official

Name
DR. DANIEL C STOECKEL, D.D.S.
Title
PROGRAM DIRECTOR-PEDIATRIC DENTISTR
Phone
(314) 977-8517

Specialties & Taxonomy Codes

Specialty
Clinic/Center - DentalDental

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