Individual
PHILIP MANNHARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S
Contact information
Practice address
727 LEMAY FERRY RD, SAINT LOUIS, MO 63125-1427
(314) 638-2121
Mailing address
727 LEMAY FERRY RD, SAINT LOUIS, MO 63125-1427
(314) 638-2121
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12920
MO
Other
Enumeration date
12/18/2006
Last updated
04/07/2015
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