Organization · Type 2 NPI

Saint Louis University

Dental Clinic/Center · St. Louis, MO

NPI number 1104377431 Active

Practice location

3320 Rutger St
St. Louis, MO 63104-1122

Fax (314) 977-8617

Specialties and licenses

TaxonomyCodeLicense
Dental Clinic/Center Primary 261QD0000X2000174326 (MO)

Dental Clinic/Center: Definition to come...

35 other providers at this address

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About NPI 1104377431

Saint Louis University's National Provider Identifier is 1104377431, issued on Oct 21, 2016. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in St. Louis, MO. The record was last updated on Oct 21, 2016.