Individual
AMIR TAREK DEIAB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2931 VETERANS MEMORIAL PKWY, SAINT CHARLES, MO 63303-3527
(314) 422-4125
Mailing address
3533 NEW TOWN LAKE DR, SAINT CHARLES, MO 63301-8429
(314) 422-4125
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
019035965
IL
1223G0001X
General Practice Dentistry
Primary
2022021002
MO
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
05/11/2022
Last updated
06/26/2025
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