Organization
RIES ORTHODONTICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHARLES RIES DMD (OWNER)
(636) 230-6100
Entity
Organization
Contact information
Practice address
333 OZARK TRAIL DR, SUITE 100, ELLISVILLE, MO 63011-2185
(636) 230-6100
Mailing address
333 OZARK TRAIL DR, SUITE 100, ELLISVILLE, MO 63011-2185
(636) 230-6100
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
2004015776
MO
Other
Enumeration date
05/29/2008
Last updated
05/29/2008
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