Individual
DR. PATRICK STAMOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
3320 RUTGER ST, SAINT LOUIS, MO 63104-1122
(314) 977-8363
Mailing address
4800 NW CANYON CIR, LEES SUMMIT, MO 64064-2068
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2016001673
MO
Other
Enumeration date
03/30/2017
Last updated
03/30/2017
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