Organization
SLEEP DENTISTRY -ST. LOUIS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY LEA BOMMARITO OM (OFFICE MANAGER)
(314) 862-7844
Entity
Organization
Contact information
Practice address
950 FRANCIS PL STE 305, SAINT LOUIS, MO 63105-2465
(314) 862-7844
(314) 862-4504
Mailing address
950 FRANCIS PL STE 305, SAINT LOUIS, MO 63105-2465
(314) 862-7844
(314) 862-4504
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
—
—
1223D0004X
Dental Anesthesiology
Primary
—
—
Other
Enumeration date
08/06/2020
Last updated
08/06/2020
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