Organization
MISSOURI DENTAL PROFESSIONALS, RICHARD STRAUS, D.M.D., P.C.
Active
Parent organization
MISSOURI DENTAL PROFESSIONALS, RICHARD STRAUS, DMD, PC
Other names
Bayless Dental Group
Organization subpart
Yes
Provider details
NPI number
Legal business name
MISSOURI DENTAL PROFESSIONALS, RICHARD STRAUS, DMD, PC
Authorized official
TABATHA LEMKE (CREDENTIALING COORDINATOR)
(217) 540-6078
Entity
Organization
Contact information
Practice address
3955 BAYLESS AVE STE 100, SAINT LOUIS, MO 63125-1438
(314) 638-4190
Mailing address
3955 BAYLESS AVE STE 100, SAINT LOUIS, MO 63125-1438
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
07/09/2020
Last updated
07/09/2020
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