Individual
MR. SIMON TADROS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1500 PARK AVE, SAINT LOUIS, MO 63104-3024
(314) 833-2700
Mailing address
9256 STAR CT, FRANKFORT, IL 60423-9122
(708) 307-4908
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12014497A
IN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/12/2023
Last updated
09/25/2024
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