Individual
RICHARD W DANYLUCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
3940 S BROADWAY, ST LOUIS, MO 63118-4626
(314) 776-4700
(314) 776-2248
Mailing address
3940 S BROADWAY, ST LOUIS, MO 63118-4626
(314) 776-4700
(314) 776-2248
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
012214
MO
Other
Enumeration date
03/27/2007
Last updated
07/08/2007
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