Organization
EDWARD S CZEBRINSKI DMD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EDWARD STEVEN CZEBRINSKI DMD (PRESIDENT OWNER SURGEON)
(314) 878-1401
Entity
Organization
Contact information
Practice address
77 WESTPORT PLAZA MEDICAL CENTER, SUITE 356, SAINT LOUIS, MO 63146
(314) 878-1401
Mailing address
77 WESTPORT PLAZA MEDICAL CENTER, SUITE 356, SAINT LOUIS, MO 63146
(314) 878-1401
Taxonomy
Speciality
Code
Description
License number
State
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
MO GEN #011763
MO
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
MO SPEC #00483
MO
Other
Enumeration date
12/21/2006
Last updated
08/22/2020
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