Organization
SUNSET HILLS DENTAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PHYLLIS M AHRENS (INSURANCE DEPT REP)
3148425000827
Entity
Organization
Contact information
Practice address
11810 GRAVOIS RD, ST LOUIS, MO 63127
(314) 842-5000
(314) 842-7199
Mailing address
PO BOX 8570, ST LOUIS, MO 63126-0570
(314) 842-5000
(314) 842-7199
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
10/26/2006
Last updated
08/22/2020
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