Individual
DR. JOHN MATTHEW KOLASKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
13131 TESSON FERRY RD, SUITE 101, SAINT LOUIS, MO 63128-3887
(314) 842-9300
Mailing address
13131 TESSON FERRY RD 101, SAINT LOUIS, MO 63128-3887
(314) 842-9300
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DE 015991
MO
Other
Enumeration date
07/17/2006
Last updated
12/31/2015
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