Organization · Type 2 NPI

Midwest Mobile Dentistry LLC

Dental Clinic/Center · St. Louis, MO

NPI number 1417477985 Active

Practice location

1 N Brentwood Blvd Ste 1000
St. Louis, MO 63105-3937

Call (225) 287-8765 Map

Fax (615) 225-8915

Mailing address

1 North Brentwood Boulevard, Suite 1000
St. Louis, MO 63105

Specialties and licenses

TaxonomyCodeLicense
Dental Clinic/Center Primary 261QD0000XNone listed

Dental Clinic/Center: Definition to come...

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About NPI 1417477985

Midwest Mobile Dentistry LLC's National Provider Identifier is 1417477985, issued on Jun 26, 2017. 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 Jul 21, 2022.