Individual provider · Type 1 NPI

Mark Eidelman, DDS

General Practice Dentistry · St. Peters, MO

NPI number 1154468858 Active

About NPI 1154468858

Mark Eidelman, DDS's National Provider Identifier is 1154468858, issued on Jan 31, 2007. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in St. Peters, MO. The record was last updated on Jul 8, 2007.