Individual
ABDAL AZIZ ALFARRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1500 PARK AVE, SAINT LOUIS, MO 63104-3024
(314) 814-8579
Mailing address
42 4 SEASONSSHOPPING CTR STE 128, CHESTERFIELD, MO 63017-3197
(603) 229-8369
(314) 205-8778
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
2023020970
MO
Other
Enumeration date
06/12/2023
Last updated
09/12/2024
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