Individual
DR. JASON ISAAC MARGOLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
621 SOUTH NEW BALLAS ROAD, SUITE 16 A, ST. LOUIS, MO 63141
(314) 251-6725
(314) 251-6726
Mailing address
621 SOUTH NEW BALLAS ROAD, SUITE 16 A, ST. LOUIS, MO 63141
(314) 251-6725
(314) 251-6726
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
2011037753
MO
Other
Enumeration date
08/05/2008
Last updated
07/24/2012
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