PRASHANTH KONATHAM HARIBABU

ST LOUIS, MO
NPI1811317142
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy122300000X Dentist
(Licence: MO  2018032931)
Additional Taxonomies1223S0112X Dentist, Oral and Maxillofacial Surgery
(Licence: MI  2901021748)
Enumeration Date2014-04-25
Last Update Date2019-10-03
Business Address
Dr. PRASHANTH KONATHAM HARIBABU DDS, BDS, MDS, MSD
1500 PARK AVE ORAL MAXILLOFACIAL SURGERY
ST LOUIS, MO 63104-3024
Phone number: 146-853-5793
Mailing Address
Dr. PRASHANTH KONATHAM HARIBABU DDS, BDS, MDS, MSD
1500 PARK AVE
SAINT LOUIS, MO 63104-3024
Phone number: 314-833-2723