Organization
ST. LOUIS COUNTY DENTAL PARTNERSHIP, TIMOTHY M GRAYEM DDS & ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JANICE E PELLEY (PRACTICE MANAGER)
(314) 965-6503
Entity
Organization
Contact information
Practice address
469 S KIRKWOOD RD, KIRKWOOD, MO 63122-6119
(314) 965-6503
(314) 965-7417
Mailing address
469 S KIRKWOOD RD, KIRKWOOD, MO 63122-6119
(314) 965-6503
(314) 965-7417
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2002013144
MO
Other
Enumeration date
07/25/2016
Last updated
07/25/2016
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