Organization
ALLIED DENTAL CONSULTANTS, INC
Active
Other names
Plaza Dental Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GARY J GREEN D.D.S. (PRESIDENT)
(314) 361-1818
Entity
Organization
Contact information
Practice address
4646 LINDELL BLVD, SAINT LOUIS, MO 63108-3726
(314) 361-1818
(314) 361-6585
Mailing address
4646 LINDELL BLVD, SAINT LOUIS, MO 63108-3726
(314) 361-1818
(314) 361-6585
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
13434
MO
Other
Enumeration date
01/21/2010
Last updated
01/21/2010
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