Organization
RICHARD A SQUIRES DDS PC
Active
Other names
Hollywood Smiles
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD A SQUIRES DDS (PRESIDENT)
(314) 352-2127
Entity
Organization
Contact information
Practice address
4630 GRAVOIS AVE, SAINT LOUIS, MO 63116-2446
(314) 352-2127
(314) 352-2388
Mailing address
4630 GRAVOIS AVE, SAINT LOUIS, MO 63116-2446
(314) 352-2127
(314) 352-2388
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
11774
MO
Other
Enumeration date
08/17/2006
Last updated
06/25/2008
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