PROVIDE DENTAL

CHESTERFIELD, MO
NPI1124990601
Entity TypeOrganization
Authorized ContactPHILIP SON
Dentist
323-787-9397
Organization Subpart ?Yes
Primary Taxonomy261QD0000X Clinic/Center Dental
Enumeration Date2025-09-23
Last Update Date2025-09-23
Business Address
PROVIDE DENTAL
13371 OLIVE BLVD # 3108
CHESTERFIELD, MO 63017-3108
Phone number: 314-878-5544
Mailing Address
PROVIDE DENTAL
13371 OLIVE BLVD # 3108
CHESTERFIELD, MO 63017-3108
Phone number: 314-878-5544