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Individual

DR. HIROSHI UENO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.D.S., M.S.

Contact information

Practice address
3320 RUTGER ST, DREILING-MARSHALL HALL, SAINT LOUIS, MO 63104-1122
(314) 977-8359
Mailing address
1800 S BRENTWOOD BLVD APT 520, SAINT LOUIS, MO 63144-1840
(314) 728-7175

Taxonomy

Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
019030229
IL
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
2015015652
MO

Other

Enumeration date
07/27/2015
Last updated
07/27/2015
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