Organization
ARCH DENTISTRY
Active
Other names
Arch Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SONU MUTHUVALLIAPPAN DMD (OWNER DENTIST)
(314) 764-5312
Entity
Organization
Contact information
Practice address
807 HAZELWEST DR, HAZELWOOD, MO 63042-1748
(636) 489-9330
Mailing address
807 HAZELWEST DR, HAZELWOOD, MO 63042-1748
(636) 489-9330
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NONE
NONE
—
Enumeration date
10/15/2019
Last updated
10/15/2019
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