Organization
PROVIDE DENTAL
Active
Parent organization
PROVIDE DENTAL
Other names
Provide Dental- Chesterfield
Organization subpart
Yes
Provider details
NPI number
Legal business name
PROVIDE DENTAL
Authorized official
PHILIP SON DMD (DENTIST)
(323) 787-9397
Entity
Organization
Contact information
Practice address
13371 OLIVE BLVD # 3108, CHESTERFIELD, MO 63017-3108
(314) 878-5544
Mailing address
13371 OLIVE BLVD # 3108, CHESTERFIELD, MO 63017-3108
(314) 878-5544
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
09/23/2025
Last updated
09/23/2025
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