Organization
STL DENTAL GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TRI LY (DENTIST)
(314) 865-3838
Entity
Organization
Contact information
Practice address
3654 GRAVOIS AVE, SAINT LOUIS, MO 63116-4728
(314) 865-3838
(314) 865-2419
Mailing address
3654 GRAVOIS AVE, SAINT LOUIS, MO 63116-4728
(314) 865-3838
(314) 865-2419
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
04/07/2026
Last updated
04/07/2026
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