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Organization

ALL STAR DENTAL

Active
Parent organization
ARTHUR T ENGELAGE
Organization subpart
Yes

Provider details

NPI number
Legal business name
ARTHUR T ENGELAGE
Authorized official
ARTHUR T ENGELAGE DMD (OWNER)
(618) 233-3503
Entity
Organization

Contact information

Practice address
201A E 5TH ST, EUREKA, MO 63025-1223
(636) 938-7827
(636) 938-5979
Mailing address
201A E 5TH ST, EUREKA, MO 63025-1223
(636) 938-7827
(636) 938-5979

Taxonomy

Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
2002007232
MO

Other

Enumeration date
07/13/2009
Last updated
07/13/2009
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