Individual
AZADEH ESLAMI AMIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
3320 RUTGER ST, SAINT LOUIS, MO 63104-1122
(314) 977-8363
Mailing address
1520 WASHINGTON AVE, APT. 710, SAINT LOUIS, MO 63103-1840
(810) 333-3930
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
V177181001
MO
Other
Enumeration date
06/09/2013
Last updated
06/09/2013
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