Individual
HARRY RANDALL NIEHAUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
6900 MEXICO RD, SAINT PETERS, MO 63376-1512
(636) 278-1991
(636) 970-1981
Mailing address
6900 MEXICO RD, SAINT PETERS, MO 63376-1512
(636) 278-1991
(636) 970-1981
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
12530
MO
Other
Enumeration date
05/24/2006
Last updated
07/08/2007
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