Individual
DR. ERVIN SIMMONS IV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
12528 LUSHER RD, ST LOUIS, MO 63138
(314) 741-4949
(314) 741-4958
Mailing address
12528 LUSHER RD, ST LOUIS, MO 63138
(314) 741-4949
(314) 741-4958
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
13607
MO
Other
Enumeration date
01/29/2007
Last updated
07/08/2007
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