Organization
ETHAN J SCHUMAN DMD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JANET WEISBERG (PRESIDENT)
(314) 432-2580
Entity
Organization
Contact information
Practice address
658 N BALLAS RD, SAINT LOUIS, MO 63122-2151
(314) 432-2580
Mailing address
658 N BALLAS RD, SAINT LOUIS, MO 63122-2151
(314) 432-2580
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
09/15/2006
Last updated
06/30/2008
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