Individual
DR. JONATHAN A SHANKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
12111 TESSON FERRY PROFESSIONAL CTR, SAINT LOUIS, MO 63128-1250
(314) 842-4105
(314) 842-3580
Mailing address
9 HIGH ACRES DR, SAINT LOUIS, MO 63132-4210
(314) 993-0057
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
2000157698
MO
Other
Enumeration date
10/03/2006
Last updated
07/08/2007
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