Organization
CLARKSON ORAL SURGERY
Active
Other names
Oral Facial Surgery institute
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL W NOBLE DMD (OWNER)
(314) 251-6725
Entity
Organization
Contact information
Practice address
2997 CLARKSON RD, STE 120, CHESTERFIELD, MO 63017
(636) 948-6725
Mailing address
2997 CLARKSON RD, STE 120, CHESTERFIELD, MO 63017
(636) 948-6725
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
—
Other
Enumeration date
12/05/2018
Last updated
12/05/2018
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