Organization · Type 2 NPI

South County Dental Imaging Center

Radiology Clinic/Center · St. Louis, MO

NPI number 1053647008 Active

Practice location

12818 Tesson Ferry Rd, Suite 204
St. Louis, MO 63128-2945

Call (314) 722-2033 Map

Fax (314) 842-1590

Mailing address

1034 S Brentwood Blvd, Suite 1010
St. Louis, MO 63117-1223

Specialties and licenses

TaxonomyCodeLicense
Radiology Clinic/Center Primary 261QR0200XNone listed

Radiology Clinic/Center: Definition to come...

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About NPI 1053647008

South County Dental Imaging Center's National Provider Identifier is 1053647008, issued on Oct 27, 2009. The primary taxonomy on file is Radiology Clinic/Center (261QR0200X), and the practice location is in St. Louis, MO. The record was last updated on Oct 27, 2009.