EDP OF MISSOURI PC

CREVE COEUR, MO
NPI1457867590
Entity TypeOrganization
Authorized ContactMELISSA GARIBAY
Credentialing Manager
312-736-8963
Organization Subpart ?No
Primary Taxonomy261QD0000X Clinic/Center Dental
Enumeration Date2017-12-27
Last Update Date2021-09-20
Business Address
EDP OF MISSOURI PC
677 N NEW BALLAS RD STE 207
CREVE COEUR, MO 63141-6732
Phone number: 314-569-3141
Mailing Address
EDP OF MISSOURI PC
141 W JACKSON BLVD STE 210
CHICAGO, IL 60604-3048
Phone number: 312-937-3619
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