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1427142728
JONATHAN A SHANKER
SAINT LOUIS, MO
NPI
1427142728
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics
(Licence: MO 2000157698)
Enumeration Date
2006-10-03
Last Update Date
2007-07-08
Business Address
Dr. JONATHAN A SHANKER DDS
12111 TESSON FERRY PROFESSIONAL CTR
SAINT LOUIS, MO 63128-1250
Phone number: 314-842-4105
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Mailing Address
Dr. JONATHAN A SHANKER DDS
9 HIGH ACRES DR
SAINT LOUIS, MO 63132-4210
Phone number: 314-993-0057
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