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
Authorized Official
- Name
- RAY WEBER
- Title
- SUPPORT SPECIALIST
- Phone
- (314) 753-8154
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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