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Individual

KIRK A WASHINGTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
5701 DELMAR BLVD., ST. LOUIS, MO 63112-0937
(314) 367-7848
(314) 367-2985
Mailing address
5701 DELMAR BLVD., ST. LOUIS, MO 63112-0937
(314) 367-7848
(314) 367-2985

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2005032026
MO

Other

Enumeration date
08/22/2006
Last updated
01/08/2013
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