Individual
DR. MAZYAR MOSHIRI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
777 S. NEW BALLAS ROAD, SUITE 116E, SAINT LOUIS, MO 63141
(314) 997-3999
(314) 997-7554
Mailing address
777 S NEW BALLAS RD, SUITE 116E, SAINT LOUIS, MO 63141-8705
(314) 997-3999
(314) 997-7554
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
2008019628
MO
Other
Enumeration date
09/13/2006
Last updated
12/10/2010
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