Organization
RIVER CITY ENDODONTICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MATTHEW JAMES WALKER D.D.S., M.S.D (OWNER)
(636) 362-4040
Entity
Organization
Contact information
Practice address
113 CHURCH ST, O FALLON, MO 63366-2894
(636) 362-4040
(636) 362-4141
Mailing address
113 CHURCH ST, O FALLON, MO 63366-2894
(636) 362-4040
(636) 362-4141
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
—
—
Other
Enumeration date
04/02/2021
Last updated
12/12/2021
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