JAIRUS J BURPO

SAINT LOUIS, MO
NPI1184316473
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy122300000X Dentist
(Licence: MO  6343613213)
Additional Taxonomies390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2023-05-24
Last Update Date2023-05-24
Business Address
JAIRUS J BURPO
1500 PARK AVE
SAINT LOUIS, MO 63104-3024
Phone number: 141-752-2943
Mailing Address
JAIRUS J BURPO
1500 PARK AVE
SAINT LOUIS, MO 63104-3024
Phone number: 141-752-2943