Organization · Type 2 NPI

Mystldentist LLC

Dental Clinic/Center · St. Louis, MO

NPI number 1972039501 Active

Practice location

4590 S Lindbergh Blvd
St. Louis, MO 63127-1832

Call (314) 842-0440 Map

Fax (314) 849-5847

Specialties and licenses

TaxonomyCodeLicense
Dental Clinic/Center Primary 261QD0000X013578 (MO)

Dental Clinic/Center: Definition to come...

10 other providers at this address

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About NPI 1972039501

Mystldentist LLC's National Provider Identifier is 1972039501, issued on May 2, 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 May 2, 2017.