Individual
HAJIRA CHOUDHARY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
5212 N SERVICE RD, SAINT PETERS, MO 63376-3950
(636) 387-4323
Mailing address
5212 N SERVICE RD, SAINT PETERS, MO 63376-3950
(703) 439-9655
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
107061
CA
1223G0001X
General Practice Dentistry
Primary
2024015558
MO
Other
Enumeration date
11/05/2021
Last updated
05/16/2024
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