Creve Coeur Periodontics, Inc.
NPI #1174799415 in Creve Coeur, Missouri
Provider Information
- NPI Number
- 1174799415
- Entity Type
- Organization
- Organization Name
- Creve Coeur Periodontics, Inc.
- Primary Specialty
- Dentist - Periodontics
- Enumeration Date
- May 6, 2008
- Last Updated
- May 6, 2008
Practice Location
- Address
- 11709 OLD BALLAS RD
- Address 2
- SUITE 206
- City
- Creve Coeur
- State
- Missouri
- ZIP Code
- 63141-7029
- Phone
- (314) 567-3760
Authorized Official
- Name
- DR. MARWAN ASSAF, D.M.D., M.S.D.
- Title
- OWNER
- Phone
- (314) 567-3760
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - Periodontics — Periodontics |
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