Individual
KOUROSH NAKHAEI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1717 BIDDLE ST, SAINT LOUIS, MO 63106-3454
(314) 814-8581
Mailing address
300 N 4TH ST APT 1011, SAINT LOUIS, MO 63102-1944
(310) 741-8604
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
33321
TX
Other
Enumeration date
07/26/2017
Last updated
10/09/2018
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