Organization
BEST CARE DENTAL
Active
Other names
Dr. Maryana Kirolos
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARYANA KIROLOS DDS (OWNER/DENTIST)
(636) 240-6858
Entity
Organization
Contact information
Practice address
310 E ELM ST, O FALLON, MO 63366-2606
(636) 240-6858
(636) 272-4278
Mailing address
310 E ELM ST, O FALLON, MO 63366-2606
(636) 240-6858
(636) 272-4278
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
20125019136
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1114205929
—
MO
Enumeration date
10/17/2016
Last updated
10/17/2016
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