Individual
DR. DAVID ALLEN DURHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
10000 WATSON RD, A, SAINT LOUIS, MO 63126-1854
(314) 822-3322
(314) 822-3328
Mailing address
10000 WATSON RD, A, SAINT LOUIS, MO 63126-1854
(314) 822-3322
(314) 822-3328
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
013266
MO
Other
Enumeration date
02/06/2007
Last updated
07/08/2007
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