Individual
RAYMOND GERARD NIKODEM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
4337 BUTLER HILL RD, SAINT LOUIS, MO 63128-3735
(314) 892-2000
(314) 892-4550
Mailing address
4337 BUTLER HILL RD, SAINT LOUIS, MO 63128-3735
(314) 892-2000
(314) 892-4550
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
014792
MO
Other
Enumeration date
02/27/2007
Last updated
07/08/2007
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