Individual
DR. YAMUNA ANNA MATHEW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
12360 MANCHESTER RD STE 201, SAINT LOUIS, MO 63131-4312
(314) 394-0540
(314) 394-0543
Mailing address
2947 DEVONDALE PLACE, ST LOUIS, MO 63131
(636) 305-9649
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2002012837
MO
Other
Enumeration date
01/22/2007
Last updated
07/08/2007
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