NA Niewdach INC

NPI #1184196305 in Des Peres, Missouri

Provider Information

NPI Number: 1184196305
Entity Type: Organization
Organization Name: NA Niewdach INC
Primary Specialty: Clinic/Center - Dental
Enumeration Date: Dec 28, 2018
Last Updated: Dec 28, 2018

Practice Location

Address: 11648 MANCHESTER RD
City: Des Peres
State: Missouri
ZIP Code: 63131-4612
Phone: (314) 394-2828

Authorized Official

Name: NICOLE NIEWDACH
Title: OWNER
Phone: (314) 394-2828

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Dental — Dental	261QD0000X	Primary

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