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1780357160
CHARLES STEWART BAKULA
SAINT LOUIS, MO
NPI
1780357160
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
122300000X Dentist
(Licence: MO 2021021223)
Enumeration Date
2021-07-30
Last Update Date
2021-07-30
Business Address
Dr. CHARLES STEWART BAKULA DDS
2821 N BALLAS RD STE 140
SAINT LOUIS, MO 63131-2377
Phone number: 314-432-5544
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Mailing Address
Dr. CHARLES STEWART BAKULA DDS
2821 N BALLAS RD STE 140
SAINT LOUIS, MO 63131-2377
Phone number: 314-432-5544
Copy
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