Organization
SAINT LOUIS UNIVERSITY
Active
Other names
Cardinal Glennon Pediatric Dental Specialties at Saint Louis Univ
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DANIEL C STOECKEL D.D.S. (PROGRAM DIRECTOR-PEDIATRIC DENTISTR)
(314) 977-8517
Entity
Organization
Contact information
Practice address
3320 RUTGER ST, SAINT LOUIS, MO 63104-1122
(314) 977-7336
(314) 977-8617
Mailing address
3320 RUTGER ST, SAINT LOUIS, MO 63104-1122
(314) 977-7336
(314) 977-8617
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
2000174326
MO
Other
Enumeration date
10/21/2016
Last updated
10/21/2016
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