Individual
DR. PETER GONTARZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
500 NW PLAZA DR STE 524, SAINT ANN, MO 63074-2220
(573) 751-0042
Mailing address
525 LEXINGTON LANDING DR, SAINT CHARLES, MO 63303-1749
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2017017918
MO
Other
Enumeration date
06/12/2017
Last updated
06/12/2017
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