Organization
REM DDS, LLC
Active
Parent organization
REM DDS, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
REM DDS, LLC
Authorized official
RIKKI LIEBERTH (OFFICE MANAGER)
(402) 505-6843
Entity
Organization
Contact information
Practice address
10000 WATSON RD STE 2MM, SAINT LOUIS, MO 63126-1848
(402) 505-6843
Mailing address
10000 WATSON RD STE 2MM, SAINT LOUIS, MO 63126-1848
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
09/10/2020
Last updated
09/10/2020
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