Organization
SOUTHAMPTON DENTAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KATHERINE ELIZABETH WEYHAUPT (PRACTICE MANAGER)
(314) 647-2828
Entity
Organization
Contact information
Practice address
1501 HAMPTON AVENUE, ST LOUIS, MO 63139
(314) 647-2828
(314) 647-2793
Mailing address
1501 HAMPTON AVENUE, ST LOUIS, MO 63139
(314) 647-2828
(314) 647-2793
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
06/23/2021
Last updated
06/23/2021
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