Individual
DR. WILLIAM PAVLISIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
9021 GRAVOIS RD, SAINT LOUIS, MO 63123-4625
(314) 481-5150
(314) 481-5816
Mailing address
9021 GRAVOIS RD, SAINT LOUIS, MO 63123-4625
(314) 481-5150
(314) 481-5816
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
13705
MO
Other
Enumeration date
07/25/2006
Last updated
07/08/2007
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