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Individual

DR. SHAUNAK PAL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DMD

Contact information

Practice address
3320 RUTGER ST, SAINT LOUIS, MO 63104-1122
(314) 977-8363
Mailing address
100 N KINGSHIGHWAY BLVD, SAINT LOUIS, MO 63108-1269
(708) 648-0123

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2022023040
MO

Other

Enumeration date
06/29/2022
Last updated
06/29/2022
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