Individual
DR. SRDJAN ILIC-SILJAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
2915 S BRENTWOOD BLVD, BRENTWOOD, MO 63144-2713
(314) 962-6622
(314) 961-2288
Mailing address
2915 S BRENTWOOD BLVD, SAINT LOUIS, MO 63144-2713
(314) 962-6622
(314) 961-2288
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2008011096
MO
Other
Enumeration date
05/03/2006
Last updated
03/19/2024
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