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Individual

DR. RICHARD LEE EMANUEL

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
D.M.D.

Contact information

Practice address
5686 TELEGRAPH RD, SAINT LOUIS, MO 63129-4243
(314) 846-0101
Mailing address
6810 CHINA LAKE DR, SAINT LOUIS, MO 63129-5453
(314) 846-0664

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12983
MO

Other

Enumeration date
06/17/2005
Last updated
07/08/2007
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