Organization
STEVEN J. HRIBERNIK, D.M.D., P.C.
Active
Other names
St. Louis South Oral & Maxillofacial Surgery, Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
MS. PEGGY S. CAROTHERS (OFFICE MANAGER)
(314) 842-4699
Entity
Organization
Contact information
Practice address
1155 E GANNON DR, FESTUS, MO 63028-2611
(636) 931-4699
(636) 931-5110
Mailing address
1155 E GANNON DR, FESTUS, MO 63028-2611
(636) 931-4699
(636) 931-5110
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
015277
MO
Other
Enumeration date
05/11/2007
Last updated
08/22/2020
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