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Edp Of Missouri Pc
Dental Clinic/Center in Creve Coeur, Missouri
NPI 1457867590

Edp Of Missouri Pc is a Dental Clinic/Center based in Chicago, MO and is specialized in Dental. Edp Of Missouri Pc practices in Creve Coeur, MO. The NPI Number for Edp Of Missouri Pc is 1457867590 and holds a License No. (Missouri).

The current practice location address for Edp Of Missouri Pc is 677 N New Ballas Rd Ste 207, Creve Coeur, MO and can be reached out via phone at 314-569-3141. You can also correspond with Edp Of Missouri Pc through the mailing address at 141 W JACKSON BLVD STE 210, CHICAGO, IL - 60604-3048 (mailing address contact number: 312-937-3619).

Location: 677 N New Ballas Rd Ste 207, Creve Coeur, MO, 60604-3048
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1457867590
Provider Name
Edp Of Missouri Pc
Credential
Provider Entity Type
Organization
Address
677 N New Ballas Rd Ste 207, Creve Coeur, MO, 60604-3048
Phone Number
314-569-3141
Fax Number
Provider Enumeration Date
12/27/2017
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
677 N New Ballas Rd Ste 207
City
Creve Coeur
State
Missouri
Zip
63141-6732
Phone Number
314-569-3141
Fax Number
person
Provider Business Mailing Address Details
Address
141 W Jackson Blvd Ste 210
City
Chicago
State
Illinois
Zip
60604-3048
Phone Number
312-937-3619
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Dental
Taxonomy
261QD0000X
License No.
()
Definition
Definition to come...
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