Organization
SENIOR CARE DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SAMUEL DEDNAM SR. D.M.D. (C.E.O./PRESIDENT)
(314) 268-6135
Entity
Organization
Contact information
Practice address
3535 S JEFFERSON AVE STE 302, SAINT LOUIS, MO 63118-3935
(314) 268-6135
(314) 268-6117
Mailing address
3535 S JEFFERSON AVE STE 302, SAINT LOUIS, MO 63118-3935
(314) 268-6135
(314) 268-6117
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
01/26/2009
Last updated
01/26/2009
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