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Nikodem Dental Care
Dental Clinic/Center in Hazelwood, Missouri
NPI 1902207426

Nikodem Dental Care is a Dental Clinic/Center based in Hazelwood, MO and is specialized in Dental. Nikodem Dental Care practices in Hazelwood, MO. The NPI Number for Nikodem Dental Care is 1902207426 and holds a License No. 2014015546 (Missouri).

The current practice location address for Nikodem Dental Care is 811 Hazelwest Dr, Hazelwood, MO and can be reached out via phone at 314-731-7555 and via fax at 314-731-7562.

Location: 811 Hazelwest Dr, Hazelwood, MO, 63042-1749
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1902207426
Provider Name
Nikodem Dental Care
Credential
Provider Entity Type
Organization
Address
811 Hazelwest Dr, Hazelwood, MO, 63042-1749
Phone Number
314-731-7555
Fax Number
314-731-7562
Provider Enumeration Date
09/16/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
811 Hazelwest Dr
City
Hazelwood
State
Missouri
Zip
63042-1749
Phone Number
314-731-7555
Fax Number
314-731-7562
person
Provider Business Mailing Address Details
Address
811 Hazelwest Dr
City
Hazelwood
State
Missouri
Zip
63042-1749
Phone Number
314-731-7555
Fax Number
314-731-7562
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Dental
Taxonomy
261QD0000X
License No.
2014015546 (Missouri)
Definition
Definition to come...
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