Organization
ALLEN SCLAROFF DDS INC
Active
Organization
ALLEN SCLAROFF DDS INC
Active
Other names
University Oral & Maxillofacial Surgery
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALLEN SCLAROFF DDS (OWNER)
(314) 453-9705
Entity
Organization
Contact information
Practice address
1 BARNES JEWISH HOSPITAL PLZ, SUITE 16432, SAINT LOUIS, MO 63110-1003
(314) 361-6006
(314) 631-6599
Mailing address
1040 N MASON, SUITE 207, CREVE COEUR, MO 63141
(314) 453-9705
(314) 453-9706
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
012170
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6554
—
MO
Enumeration date
04/09/2008
Last updated
04/23/2008
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