Organization
ST. PETERS COSMETIC AND FAMILY DENTISTRY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KIRK DANIEL MCELHENY DDS (PRESIDENT/OWNER)
(636) 485-7188
Entity
Organization
Contact information
Practice address
3601 N SAINT PETERS PKWY STE 200, SAINT PETERS, MO 63376-7303
(636) 441-4415
Mailing address
3601 N SAINT PETERS PKWY STE 200, SAINT PETERS, MO 63376-7303
(636) 441-4415
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
12/16/2018
Last updated
12/16/2018
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