Individual
DR. LINDSAY ROSE GRANT STAWARSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
615 S NEW BALLAS RD, SAINT LOUIS, MO 63141-8221
(314) 251-5775
(314) 251-5776
Mailing address
589 MID RIVERS MALL DR., LIFETIME DENTISTRY, ST. PETER, MO 63376
(636) 970-1595
(636) 279-1117
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2013015328
MO
Other
Enumeration date
06/26/2013
Last updated
12/09/2015
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