Individual
DR. ANTONIO I LONGRAIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
4600 S. LINDBEIGH 63127, ST. LOUIS, MO 63127
(314) 842-4010
Mailing address
4600 S. LINDBEIGH 63127, ST. LOUIS, MO 63127
(314) 842-4010
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
9753
MO
Other
Enumeration date
02/19/2009
Last updated
02/19/2009
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