Organization
MISSOURI DENTAL PROFESSIONALS, RICHARD STRAUS, D.M.D., P.C.
Active
Parent organization
MISSOURI DENTAL PROFESSIONALS, RICHARD STRAUS, D.M.D., P.C.
Other names
Forum Dental - St. Louis
Organization subpart
Yes
Provider details
NPI number
Legal business name
MISSOURI DENTAL PROFESSIONALS, RICHARD STRAUS, D.M.D., P.C.
Authorized official
TABATHA LEMKE (CREDENTIALING COORDINATOR)
(217) 540-6078
Entity
Organization
Contact information
Practice address
1544 SIERRA VISTA PLZ, SAINT LOUIS, MO 63138-2040
(314) 355-5700
Mailing address
1544 SIERRA VISTA PLZ, SAINT LOUIS, MO 63138-2040
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
12/04/2020
Last updated
12/04/2020
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