Organization
ANTHONY J TEGENKAMP,DMD,LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANTHONY JOHN TEGENKAMP DMD (OWNER)
(314) 918-8399
Entity
Organization
Contact information
Practice address
1301 N KINGSHIGHWAY BLVD, SAINT LOUIS, MO 63113-1408
(314) 918-8399
Mailing address
1301 N KINGSHIGHWAY BLVD, SAINT LOUIS, MO 63113-1408
(314) 918-8399
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
016061
MO
Other
Enumeration date
04/23/2014
Last updated
04/23/2014
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