Greif Ruvinov Dental Care, LLC

NPI #1790276764 in O Fallon, Missouri

Provider Information

NPI Number: 1790276764
Entity Type: Organization
Organization Name: Greif Ruvinov Dental Care, LLC
Primary Specialty: Dentist
Enumeration Date: May 24, 2018
Last Updated: May 24, 2018

Practice Location

Address: 31 OFALLON SQ
City: O Fallon
State: Missouri
ZIP Code: 63366-3034
Phone: (636) 240-1750

Authorized Official

Name: STACY M MARTIN
Title: OFFICE MANAGER
Phone: (636) 240-1750

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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