Organization
FLORISSANT DENTAL CARE-RONALD K GREIF, DDS-SAMIR RUVINOV, DDS, LLC
Active
Other names
Florissant Dental Care
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH JINDELA (GENERAL MANAGER)
(314) 956-2286
Entity
Organization
Contact information
Practice address
1265 GRAHAM RD STE A, FLORISSANT, MO 63031-8018
(314) 839-5900
(314) 839-3133
Mailing address
1265 GRAHAM RD STE A, FLORISSANT, MO 63031-8018
(314) 839-5900
(314) 839-3133
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
07/27/2017
Last updated
07/21/2022
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