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1558387878
SAMIR KHATTAB EL MOFTY
SAINT LOUIS, MO
NPI
1558387878
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223P0106X Dentist, Oral and Maxillofacial Pathology
(Licence: MO 014731)
Enumeration Date
2006-07-14
Last Update Date
2015-10-23
Business Address
Dr. SAMIR KHATTAB EL MOFTY DMD
425 S EUCLID AVE 3RD FLOOR
SAINT LOUIS, MO 63110-1005
Phone number: 314-362-5641
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Mailing Address
Dr. SAMIR KHATTAB EL MOFTY DMD
4253 CLAYTON AVE CB 8118
SAINT LOUIS, MO 63110
Phone number: 314-362-5641
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