Individual
DR. MICHAEL EDLIN JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D
Contact information
Practice address
8000 BONHOMME AVE, SUITE 306, SAINT LOUIS, MO 63105-3515
(314) 863-2222
(314) 863-5225
Mailing address
8000 BONHOMME AVE., SUITE 306, ST. LOUIS, MO 63105
(314) 863-2222
(314) 863-5225
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
14966
MO
Other
Enumeration date
08/18/2006
Last updated
07/08/2007
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