Individual
SHUKA MOSHIRI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.M.D.
Contact information
Practice address
621 S NEW BALLAS RD STE 10, SAINT LOUIS, MO 63141-8239
(314) 251-5775
(314) 251-5776
Mailing address
621 S NEW BALLAS RD STE 10, SAINT LOUIS, MO 63141-8239
(314) 251-5775
(314) 251-5776
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2011017340
MO
Other
Enumeration date
07/05/2011
Last updated
07/05/2011
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