# GREATER ST LOUIS ORAL & MAXILLOFACIAL SURGERY PC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Monterubio and Herbosa Oral and Maxillofacial Surgery
- **Organization subpart:** No

## Provider details

- **NPI number:** 1518158989
- **Authorized official:** DR. JOHN R MONTERUBIO DDS (PRESIDENT)
- **Authorized official phone:** (314) 721-1010

## Contact information

- **Practice address:** 1034 S BRENTWOOD BLVD, SUITE 1010, SAINT LOUIS, MO 63117-1223
- **Practice address phone:** (314) 721-1010
- **Practice address fax:** (314) 721-5276
- **Mailing address:** 1034 S BRENTWOOD BLVD, SUITE 1010, SAINT LOUIS, MO 63117-1223
- **Mailing address phone:** (314) 721-1010
- **Mailing address fax:** (314) 721-5276

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | — | NULL | Yes |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | — | — | Yes |

## Other

- **Enumeration date:** 08/09/2007
- **Last updated:** 02/12/2020