AZARYAS TADIWOS MANDEFRO

ARNOLD, MO
NPI1881922193
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy122300000X Dentist
(Licence: MO  2009032198)
Enumeration Date2009-11-24
Last Update Date2011-04-21
Business Address
-- AZARYAS TADIWOS MANDEFRO DMD
1708 MISSOURI STATE RD
ARNOLD, MO 63010-4603
Phone number: 636-287-9331
Mailing Address
-- AZARYAS TADIWOS MANDEFRO DMD
1708 MISSOURI STATE RD
ARNOLD, MO 63010-2006
Phone number: 636-287-9331
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