Organization
OP ORTHODONTICS OF MISSOURI
Active
Parent organization
ORTHODONTIC PARTNERS OF MISSOURI
Other names
Moshiri Orthodontics
Organization subpart
Yes
Provider details
NPI number
Legal business name
ORTHODONTIC PARTNERS OF MISSOURI
Authorized official
STACY POPE (PROJECT MANAGER)
(616) 283-8867
Entity
Organization
Contact information
Practice address
221 N. LINDBERGH BLVD, ST. LOUIS, MO 63141
(314) 427-2237
Mailing address
5300 PATTERSON AVE SE STE 110, GRAND RAPIDS, MI 49512-9758
(616) 283-8867
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
—
Other
Enumeration date
03/17/2022
Last updated
06/28/2024
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