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Individual

ETHAN J SCHUMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.M.D.

Contact information

Practice address
658 N NEW BALLAS RD, SAINT LOUIS, MO 63141-6737
(314) 432-2580
Mailing address
658 N NEW BALLAS RD, SAINT LOUIS, MO 63141-6737
(314) 432-2580

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
14389
MO

Other

Enumeration date
02/17/2006
Last updated
06/30/2008
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