Organization
WEBSTER GROVES ORTHODONTICS LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PETER M CRUMP (OWNER)
(314) 962-6242
Entity
Organization
Contact information
Practice address
24 S GORE AVE, SAINT LOUIS, MO 63119-2910
(314) 962-6242
(314) 962-3030
Mailing address
24 S GORE AVE, SAINT LOUIS, MO 63119-2910
(314) 962-6242
(314) 962-3030
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
MO
Other
Enumeration date
03/04/2014
Last updated
03/04/2014
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