Individual
DR. WOODY SOONATTRAKUL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1610 MISSISSIPPI AVE, SAINT LOUIS, MO 63104-2549
(314) 602-0019
Mailing address
1610 MISSISSIPPI AVE, SAINT LOUIS, MO 63104-2549
(314) 602-0019
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019.027241
IL
122300000X
Dentist
2007006450
MO
Other
Enumeration date
08/19/2008
Last updated
10/15/2014
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