Organization
RAYMOND J SKOSKY, DDS,LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RAYMOND J SKOSKY DDS (SOLE MEMBER)
(314) 353-0263
Entity
Organization
Contact information
Practice address
5530 VIRGINIA AVE, SAINT LOUIS, MO 63111-1939
(314) 353-0263
(314) 353-0263
Mailing address
5530 VIRGINIA AVE, SAINT LOUIS, MO 63111-1939
(314) 353-0263
(314) 353-0263
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
014508
MO
Other
Enumeration date
01/04/2016
Last updated
01/04/2016
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