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Individual

GIOVANNI A SAFDARI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD, DDS

Contact information

Practice address
1724 NEBRASKA AVE, USA DENTAC, FT LEONARD WOOD, MO 65473
(573) 596-0388
(573) 596-0410
Mailing address
1724 NEBRASKA AVE, USA DENTAC, FT LEONARD WOOD, MO 65473
(573) 596-0388
(573) 596-0410

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
2008019427
MO
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
2008019427
MO

Other

Enumeration date
07/04/2008
Last updated
07/16/2015
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