Individual
DR. WILLIAM RALPH OTTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
131 W MONROE AVE, 7, KIRKWOOD, MO 63122-5814
(314) 965-3646
Mailing address
131 W MONROE AVE, 7, KIRKWOOD, MO 63122-5814
(314) 965-3646
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
10899
MO
Other
Enumeration date
07/28/2006
Last updated
07/08/2007
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