Individual
DR. RICHARD LANE O'BRIEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
4607 HAMPTON AVE, SAINT LOUIS, MO 63109-2749
(314) 481-3369
(314) 481-5386
Mailing address
4607 HAMPTON AVE, SAINT LOUIS, MO 63109-2749
(314) 481-3369
(314) 481-5386
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
011055
MO
1223P0700X
Prosthodontics
Primary
011055
MO
Other
Enumeration date
02/02/2006
Last updated
04/17/2015
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