Organization
YAMUNA MATHEW DDS PC
Active
Other names
Des Peres Family Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. YAMUNA A MATHEW DDS (PRESIDENT)
(314) 394-0540
Entity
Organization
Contact information
Practice address
12360 MANCHESTER RD, SUITE 201, SAINT LOUIS, MO 63131-4312
(314) 394-0540
(314) 394-0543
Mailing address
12360 MANCHESTER RD, SUITE 201, SAINT LOUIS, MO 63131-4312
(314) 394-0540
(314) 394-0543
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
P00809449
MO
Other
Enumeration date
06/13/2007
Last updated
08/22/2020
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