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Organization
WILLIAM J. PAVLISIN, D.D.S., P.C.
Active
Organization
WILLIAM J. PAVLISIN, D.D.S., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM JOHN PAVLISIN DDS (OWNER)
(314) 481-5150
Entity
Organization
Contact information
Practice address
9021 GRAVOIS RD, SAINT LOUIS, MO 63123-4625
(314) 481-5150
(314) 481-5150
Mailing address
9021 GRAVOIS RD, SAINT LOUIS, MO 63123-4625
(314) 481-5150
(314) 481-5150
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
—
NULL
261QD0000X
Dental Clinic/Center
Primary
—
NULL
Other
Enumeration date
01/14/2019
Last updated
01/14/2019
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