Organization
DAVID A. DURHAM DDS AND ASSOCIATES PC
Active
Other names
Southwest Oral Surgery
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GREGG WILLIAM HOSCH DDS (PRESIDENT)
(314) 822-3322
Entity
Organization
Contact information
Practice address
10000 WATSON RD, SUITE A, SAINT LOUIS, MO 63126-1854
(314) 822-3322
(314) 822-0537
Mailing address
10000 WATSON RD, SUITE A, SAINT LOUIS, MO 63126-1854
(314) 822-3322
(314) 822-0537
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
14054
MO
Other
Enumeration date
03/12/2007
Last updated
11/07/2011
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