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Organization
ST. LOUIS CHILDREN'S HOSPITAL
Active
Organization
ST. LOUIS CHILDREN'S HOSPITAL
Active
Other names
St. Louis Children's Hospital Dental Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
MS. TRISHA LOLLO (PRESIDENT)
(314) 996-8401
Entity
Organization
Contact information
Practice address
1 CHILDRENS PL, LS 2, SAINT LOUIS, MO 63110-1002
(314) 454-6250
(314) 454-4006
Mailing address
PO BOX 504225, SAINT LOUIS, MO 63150-0001
(314) 454-6250
(314) 454-4006
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
324-2
MO
Other
Enumeration date
01/16/2007
Last updated
03/16/2021
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