Individual
DR. MAYA GRACE HABIBI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.M.D
Contact information
Practice address
5212 N SERVICE RD, SAINT PETERS, MO 63376-3950
(636) 387-4323
Mailing address
3422 UTAH ST # 2F, SAINT LOUIS, MO 63118-2727
(217) 416-6987
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2020020658
MO
Other
Enumeration date
07/27/2020
Last updated
07/27/2020
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