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Organization

MISSOURI DENTAL PROFESSIONALS, RICHARD STRAUS, DMD, PC

Active
Parent organization
MISSOURI DENTAL PROFESSIONALS, RICHARD STRAUS, DMD, PC
Other names
Total Care Dental-Bridgeton
Organization subpart
Yes

Provider details

NPI number
Legal business name
MISSOURI DENTAL PROFESSIONALS, RICHARD STRAUS, DMD, PC
Authorized official
KENDRA WALKER (CREDENTIALING TEAM LEAD)
(217) 540-8513
Entity
Organization

Contact information

Practice address
12758 BOENKER LN, BRIDGETON, MO 63044-2436
(314) 739-3300
(314) 739-0005
Mailing address
12758 BOENKER LANE, BRIDGETON, MO 63044
(314) 739-3300
(314) 739-0005

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary

Other

Enumeration date
02/04/2014
Last updated
04/25/2018
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