Individual
DR. ASHOK K ROHRA JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S., M.S.D.
Contact information
Practice address
11255 OLIVE BLVD STE 200, CREVE COEUR, MO 63141
(314) 624-9373
Mailing address
11255 OLIVE BLVD STE 200, CREVE COEUR, MO 63141-7652
(314) 624-9373
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
2018000319
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
830063821
—
MO
Enumeration date
06/14/2014
Last updated
02/11/2019
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