Organization
ABAJI DENTAL PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ESPIR ABAJI (OWNER)
(314) 656-6615
Entity
Organization
Contact information
Practice address
12221 SAINT CHARLES ROCK RD, BRIDGETON, MO 63044-2502
(314) 656-6615
Mailing address
PO BOX 70887, CLEVELAND, OH 44190-0887
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
08/29/2022
Last updated
06/20/2023
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