Individual
ALBANA SIMONI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
11437 OLIVE BLVD, CREVE COEUR, MO 63141-7108
(314) 355-2000
Mailing address
8538 ELGIN AVE, SAINT LOUIS, MO 63123-3629
(314) 650-3771
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
021.003108
IL
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
2021039416
MO
Other
Enumeration date
04/01/2015
Last updated
01/12/2022
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