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Organization

ALIZADEH ORTHODONTICS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. CYRUS M ALIZADEH DDS (PRESIDENT)
(636) 394-5455
Entity
Organization

Contact information

Practice address
2997 CLARKSON RD, SUITE 200, CHESTERFIELD, MO 63017-7368
(636) 394-7456
(636) 394-5163
Mailing address
2997 CLARKSON RD, SUITE 200, CHESTERFIELD, MO 63017-7368
(636) 394-7456
(636) 394-5163

Taxonomy

Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
14488
MO

Other

Enumeration date
05/07/2007
Last updated
08/22/2020
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