Individual
JASMINE ESMAILZADEGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
200 S KIRKWOOD RD STE 90, SAINT LOUIS, MO 63122-4351
(314) 858-1175
Mailing address
200 S KIRKWOOD RD STE 90, SAINT LOUIS, MO 63122-4351
(314) 858-1175
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2019022466
MO
Other
Enumeration date
07/01/2019
Last updated
10/04/2019
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