Individual
SONIA KUMAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
5 HEALTH DEPARTMENT DR, TROY, MO 63379-4551
(636) 528-6117
(636) 528-8629
Mailing address
5471 DR MARTIN LUTHER KING DR, SAINT LOUIS, MO 63112-4265
(314) 367-5820
(314) 367-7010
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2006028874
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
408388908
—
MO
Enumeration date
11/17/2005
Last updated
10/02/2017
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