Individual
PETER PAGANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
12334 OLIVE BLVD, SAINT LOUIS, MO 63141-6443
(314) 576-3000
(314) 576-3566
Mailing address
12334 OLIVE BLVD, SAINT LOUIS, MO 63141-6443
(314) 576-3000
(314) 576-3566
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
012313
MO
Other
Enumeration date
07/21/2008
Last updated
07/21/2008
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