SOUTHSIDE DENTAL CARE, L.L.C.

Dentist - General Practice

Active Organization
NPI: 1134345093

Practice Address

3654 GRAVOIS AVE
Saint Louis, MO 63116

Phone: (314) 865-3838

Specialties

Specialty Code Primary License
Dentist - General Practice 1223G0001X Yes 200-101-1347 (MO)

Frequently Asked Questions

NPI 1134345093 is the National Provider Identifier for SOUTHSIDE DENTAL CARE, L.L.C., a Dentist - General Practice provider located in Saint Louis, MO. This NPI was enumerated on April 18, 2007.

Quick Facts

NPI
1134345093
Type
Organization
Enumerated
Apr 18, 2007
Last Updated
Aug 22, 2020

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