Individual
DR. EDMOND RAINEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
14390 WOODLAKE DR, CHESTERFIELD, MO 63017-5714
(314) 576-6500
(314) 576-5802
Mailing address
14390 WOODLAKE DR, CHESTERFIELD, MO 63017-5714
(314) 576-6500
(314) 576-5802
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
012015
MO
Other
Enumeration date
02/12/2007
Last updated
07/08/2007
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