Organization
MISSOURI DENTAL PROFESSIONALS, RICHARD STRAUS, D.M.D., P.C.
Active
Parent organization
MISSOURI DENTAL PROFESSIONALS, RICHARD STRAUS, D.M.D., P.C.
Other names
Forum Dental - St. Peters
Organization subpart
Yes
Provider details
NPI number
Legal business name
MISSOURI DENTAL PROFESSIONALS, RICHARD STRAUS, D.M.D., P.C.
Authorized official
TABATHA LEMKE (CREDENTIALING COORDINATOR)
(217) 540-6078
Entity
Organization
Contact information
Practice address
340 MID RIVERS MALL DR STE E, SAINT PETERS, MO 63376-1581
(636) 279-1633
Mailing address
340 MID RIVERS MALL DR STE E, SAINT PETERS, MO 63376-1581
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
12/07/2020
Last updated
12/07/2020
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