Organization
LOUISE R FIRST DMD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LOUISE ROBERTA FIRST DMD (DENTIST)
(314) 837-2120
Entity
Organization
Contact information
Practice address
77 W PORT PLZ STE 205, SAINT LOUIS, MO 63146-3121
(314) 837-2120
(314) 838-8400
Mailing address
77 W PORT PLZ STE 205, SAINT LOUIS, MO 63146-3121
(314) 837-2120
(314) 838-8400
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
015538
IL
122300000X
Dentist
Primary
015538
MO
332B00000X
Durable Medical Equipment & Medical Supplies
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Other
Enumeration date
10/05/2006
Last updated
10/20/2021
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