Individual
CYRUS H TEYMOURI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S
Contact information
Practice address
1630 MARKET CENTER DR, O FALLON, MO 63368-8407
(636) 300-4380
(636) 300-0073
Mailing address
1630 MARKET CENTER DR, O FALLON, MO 63368-8407
(636) 300-4380
(636) 300-0073
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2016018484
MO
Other
Enumeration date
06/08/2016
Last updated
06/08/2016
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