Organization
MICHAEL T KATSEV DDS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL THEODORE KATSEV (OWNER)
(314) 291-2573
Entity
Organization
Contact information
Practice address
3478 BRIDGELAND DR, SUITE 3, BRIDGETON, MO 63044-2619
(314) 291-2573
Mailing address
3478 BRIDGELAND DR, SUITE 3, BRIDGETON, MO 63044-2619
(314) 291-2573
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
06/20/2007
Last updated
08/22/2020
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