Organization
PLAZA ORTHODONTICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SENTHIL NATHAN ARUN BDS,DMD,MSD, PH D (ORTHODONTIST)
(636) 232-9933
Entity
Organization
Contact information
Practice address
14560 MANCHESTER RD, # 24, BALLWIN, MO 63011-3933
(636) 230-9933
(636) 230-8467
Mailing address
14560 MANCHESTER RD, STE 24, BALLWIN, MO 63011-3933
(636) 230-9933
(636) 230-8467
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
2013009439
MO
Other
Enumeration date
06/24/2015
Last updated
06/24/2015
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