KEVIN LEE THEISS

SAINT LOUIS, MO
NPI1144604919
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy122300000X Dentist
(Licence: MO  2015018520)
Enumeration Date2015-07-11
Last Update Date2015-07-11
Business Address
Dr. KEVIN LEE THEISS DMD
4646 LINDELL BLVD
SAINT LOUIS, MO 63108-3726
Phone number: 314-361-1818
Mailing Address
Dr. KEVIN LEE THEISS DMD
4646 LINDELL BLVD
SAINT LOUIS, MO 63108-3726
Phone number: 314-361-1818
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