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Individual

DR. BERNARD RAY STORM

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
340 MID RIVERS MALL DR, SUITE E, ST PETERS, MO 63376-1581
(636) 279-1633
(636) 397-8800
Mailing address
340 MID RIVERS MALL DR, SUITE E, ST PETERS, MO 63376-1581
(636) 279-1633
(636) 397-8800

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12876
MO

Other

Enumeration date
11/09/2005
Last updated
07/08/2007
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