WESTPORT DENTAL LLC

SAINT LOUIS, MO
NPI1467983973
Entity TypeOrganization
Authorized ContactADAM BIRK
Owner
618-410-6016
Organization Subpart ?No
Primary Taxonomy122300000X Dentist
(Licence: MO  2015020290)
Enumeration Date2017-03-26
Last Update Date2017-03-26
Business Address
WESTPORT DENTAL LLC
77 W PORT PLZ SUITE NO. 251
SAINT LOUIS, MO 63146-3107
Phone number: 618-410-6016
Mailing Address
WESTPORT DENTAL LLC
9873 GRANTVIEW FOREST DR
SAINT LOUIS, MO 63123-3955
Phone number:
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