Organization
ST LOUIS SOUTH ORTHODONTICS
Active
Organization
ST LOUIS SOUTH ORTHODONTICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SENTHIL N ARUN DMD (OWNER)
(706) 288-7538
Entity
Organization
Contact information
Practice address
9911 KENNERLY RD STE H, SAINT LOUIS, MO 63128-2700
(314) 843-5583
(314) 843-6495
Mailing address
9911 KENNERLY RD STE H, SAINT LOUIS, MO 63128-2700
(314) 843-5583
(314) 843-6495
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
2013009439
MO
Other
Enumeration date
12/20/2017
Last updated
12/20/2017
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