Organization
DESHMUKH DDS, PC
Active
Other names
PERIODONTAL SPECIALISTS , PC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VIDESH DAMODAR DESHMUKH D.D.S. (PRESIDENT)
(314) 725-4221
Entity
Organization
Contact information
Practice address
1034 S BRENTWOOD BLVD, SUITE #740, SAINT LOUIS, MO 63117-1223
(314) 725-4221
(314) 725-4319
Mailing address
1034 S BRENTWOOD BLVD, SUITE #740, SAINT LOUIS, MO 63117-1223
(314) 725-4221
(314) 725-4319
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
015495
MO
Other
Enumeration date
05/04/2007
Last updated
08/28/2014
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