Individual
DR. FARIBA TAHMASEBI-MOSHIRI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.M.D.
Contact information
Practice address
777 S NEW BALLAS RD STE 305W, SAINT LOUIS, MO 63141-8719
(314) 997-5151
(314) 997-7554
Mailing address
777 S NEW BALLAS RD STE 305W, SAINT LOUIS, MO 63141-8719
(314) 997-5151
(314) 997-7554
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
014294
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
103292
ALLIANCE-BCBS
MO
01
—
605104
COMPDENT
MO
01
—
9177502
DORAL DENTAL
MO
01
—
AETNA PPO
AETNA PPO
MO
Enumeration date
12/11/2006
Last updated
07/08/2007
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