Individual
DR. AVRUM GOLDBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
3320 RUTGER ST, SAINT LOUIS, MO 63104-1122
(314) 977-8363
Mailing address
1119 MISSISSIPPI AVE, APT. 212, SAINT LOUIS, MO 63104-2440
(314) 621-4137
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
08/06/2010
Last updated
08/06/2010
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