Israa Golam, D.D.S

NPI #1588004246 in Olivette, Missouri

Provider Information

NPI Number: 1588004246
Entity Type: Individual
Name: Israa Golam, D.D.S
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: D.D.S
Enumeration Date: Jun 26, 2013
Last Updated: Jun 26, 2013

Practice Location

Address: 9378 OLIVE BLVD
Address 2: SUITE.1LL
City: Olivette
State: Missouri
ZIP Code: 63132-3215
Phone: (314) 872-3930

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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