Yamuna Mathew Dds Pc

NPI 1417151218 - Clinic/Center - 261QD0000X

NPI Details
NPI 1417151218
Enumeration Date 06/13/2007
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name YAMUNA A YAMUNA
Position PRESIDENT
Phone (314) 394-0540
Fax (314) 394-0543
Practice Location
12360 MANCHESTER RD
SUITE 201
SAINT LOUIS MO, 63131-4312, US
Phone (314) 394-0540
Fax (314) 394-0543
Business Location
12360 MANCHESTER RD
SUITE 201
SAINT LOUIS MO, 63131-4312, US
Phone (314) 394-0540
Fax (314) 394-0543
Toxanomy
Taxonomy Code 261QD0000X
License State Missouri
License Number P00809449
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According to our database, Yamuna Mathew Dds Pc NPI is 1417151218, taxonomy code is 261QD0000X and license number is P00809449, license state is located at Missouri. Yamuna Mathew Dds Pc physically located at 12360 Manchester Rd, Saint Louis MO, 63131-4312. NPI Number 1033115704 has the healthcare provider type.

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1417151218 NPI number is provided on an as is basis without warranty of any kind. 1417151218 is maintained by the National Plan & Provider Enumeration System. The contents of Yamuna Mathew Dds Pc are for informational purposes only.