Oral And Maxillofacial Surgeons Inc

NPI 1205946787 - Dentist - 1223S0112X

NPI Details
NPI 1205946787
Enumeration Date 08/30/2006
Last Updated 09/25/2008
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name KENNETH E KENNETH
Position ORAL SURGEON
Phone (314) 569-2201
Fax (314) 569-2320
Practice Location
456 N NEW BALLAS RD
SUITE 249
CREVE COEUR MO, 63141-6831, US
Phone (314) 569-2201
Fax (314) 569-2320
Business Location
456 N NEW BALLAS RD
SUITE 249
CREVE COEUR MO, 63141-6831, US
Phone (314) 569-2201
Fax (314) 569-2320
Toxanomy
Taxonomy Code 1223S0112X
License State Missouri
License Number 13560
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According to our database, Oral And Maxillofacial Surgeons Inc NPI is 1205946787, taxonomy code is 1223S0112X and license number is 13560, license state is located at Missouri. Oral And Maxillofacial Surgeons Inc physically located at 456 N New Ballas Rd, Creve Coeur MO, 63141-6831. NPI Number 1033115704 has the healthcare provider type.

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1205946787 NPI number is provided on an as is basis without warranty of any kind. 1205946787 is maintained by the National Plan & Provider Enumeration System. The contents of Oral And Maxillofacial Surgeons Inc are for informational purposes only.