CHARLES EDWARD NIESEN

SAINT LOUIS, MO
NPI1215098124
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: MO  012230)
Enumeration Date2006-12-13
Last Update Date2007-07-08
Business Address
Dr. CHARLES EDWARD NIESEN DMD
2440 S BRENTWOOD BLVD
SAINT LOUIS, MO 63144-2321
Phone number: 314-962-6643
Mailing Address
Dr. CHARLES EDWARD NIESEN DMD
2440 S BRENTWOOD BLVD
SAINT LOUIS, MO 63144-2321
Phone number: 314-962-6643
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