Individual
DR. DUSTIN R ALTMANN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
621 S NEW BALLAS RD STE 16A, SAINT LOUIS, MO 63141-8239
(314) 251-6725
(314) 251-6726
Mailing address
621 S NEW BALLAS RD STE 16A, SAINT LOUIS, MO 63141-8239
(314) 251-6725
(314) 251-6726
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
2017011732
MO
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
BD-6377712-1338
AZ
Other
Enumeration date
05/02/2013
Last updated
07/21/2022
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