Organization
SOUTHWEST ENDODONTIC ASSOC.
Active
Parent organization
SOUTHWEST ENDODONTIC ASSOCIATES
Organization subpart
Yes
Provider details
NPI number
Legal business name
SOUTHWEST ENDODONTIC ASSOCIATES
Authorized official
DR. GILBERT J CYR D.D.S. (OWNER)
(314) 781-1919
Entity
Organization
Contact information
Practice address
6651 CHIPPEWA, SUITE 323, ST. LOUIS, MO 63109
(314) 781-1919
(314) 781-0880
Mailing address
6651 CHIPPEWA, STE 323, ST. LOUIS, MO 63109
(314) 781-1919
(314) 781-0880
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
14082
MD
Other
Enumeration date
06/07/2012
Last updated
06/07/2012
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