Gary Howard Shanker D.D.S

NPI 1063498020 - Dentist - 1223X0400X

NPI Details
NPI 1063498020
Gender Male
Enumeration Date 12/21/2005
Last Updated 07/08/2007
Entity Type Individual
Active Over 11 years ago
Practice Location
12111 TESSON FERRY PROFESSIONAL CTR
SAINT LOUIS MO, 63128-1250, US
Phone (314) 842-4105
Fax (314) 842-3580
Business Location
12111 TESSON FERRY PROFESSIONAL CTR
SAINT LOUIS MO, 63128-1250, US
Phone (314) 842-4105
Fax (314) 842-3580
Toxanomy
Taxonomy Code 1223X0400X
License State Missouri
License Number 000363
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According to our database, Dr. Gary Howard Shanker D.D.S NPI is 1063498020, taxonomy code is 1223X0400X and license number is 000363, license state is located at Missouri. Gary Howard Shanker D.D.S physically located at 12111 Tesson Ferry Professional Ctr, Saint Louis MO, 63128-1250. NPI Number Gary Howard Shanker D.D.S has the Individual type.

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1063498020 NPI number is provided on an as is basis without warranty of any kind. 1063498020 is maintained by the National Plan & Provider Enumeration System. The contents of Gary Howard Shanker D.D.S are for informational purposes only.