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1417477985
MIDWEST MOBILE DENTISTRY LLC
SAINT LOUIS, MO
NPI
1417477985
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Entity Type
Organization
Authorized Contact
JEREMY GORDON GRAHAM
Owner/CEO
225-287-8765
Organization Subpart ?
No
Primary Taxonomy
261QD0000X Clinic/Center, Dental
Enumeration Date
2017-06-26
Last Update Date
2022-07-21
Business Address
MIDWEST MOBILE DENTISTRY LLC
1 N BRENTWOOD BLVD STE 1000
SAINT LOUIS, MO 63105-3937
Phone number: 225-287-8765
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Mailing Address
MIDWEST MOBILE DENTISTRY LLC
1 NORTH BRENTWOOD BOULEVARD SUITE 1000
ST LOUIS, MO 63105
Phone number: 225-287-8765
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