Individual
DR. MARK WILLIAM AYLWARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
9216 CLAYTON ROAD, SUITE 118, ST LOUIS, MO 63124
(314) 991-2950
Mailing address
9216 CLAYTON ROAD, SUITE 118, LADUE, MO 63124
(314) 991-2950
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
013082
MO
Other
Enumeration date
01/25/2007
Last updated
06/18/2013
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