Individual
KAMLESH R MAKWANA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
3208 N HIGHWAY 67, FLORISSANT, MO 63033-1646
(314) 799-9470
(314) 837-4716
Mailing address
10433 W FLORISSANT AVE, SAINT LOUIS, MO 63136-2342
(314) 524-3000
(314) 524-5020
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
019.027568
IL
122300000X
Dentist
Primary
DE015863
MO
Other
Enumeration date
03/24/2008
Last updated
10/24/2016
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