Individual
KEVIN JOSEPH PRICE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
439 S KIRKWOOD RD, SUITE 211, SAINT LOUIS, MO 63122-6169
(314) 965-5551
Mailing address
9206 LAWNDALE DR, SAINT LOUIS, MO 63126-2618
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2010016309
MO
Other
Enumeration date
10/04/2010
Last updated
10/04/2010
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