St.louis Center for Aesthetic and Restor. Dentistry/lindbergh Smile

NPI #1568939593 in Hazelwood, Missouri

Provider Information

NPI Number
1568939593
Entity Type
Organization
Organization Name
St.louis Center for Aesthetic and Restor. Dentistry/lindbergh Smile
Subpart
Yes (part of a larger organization)
Parent Organization
SOH OF MISSOURI SAMSON LIU PC
Primary Specialty
Dentist - General Practice
Enumeration Date
Oct 29, 2018
Last Updated
Oct 29, 2018

Practice Location

Address
7934 N LINDBERGH BLVD
ZIP Code
63042-3521
Phone
(314) 831-8086

Authorized Official

Name
RAY WEBER
Title
SUPPORT SPECIALIST
Phone
(314) 753-8154

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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