Individual
DR. MICHAEL J SMOLJAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS, MS
Contact information
Practice address
12221 SAINT CHARLES ROCK RD, BRIDGETON, MO 63044-2502
(314) 656-6615
Mailing address
12221 SAINT CHARLES ROCK RD, BRIDGETON, MO 63044-2502
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
2020012407
MO
1223G0001X
General Practice Dentistry
1001820-15
WI
Other
Enumeration date
04/10/2018
Last updated
08/03/2021
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