Individual
DR. PHILLIP N. NOURI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D
Contact information
Practice address
677 N NEW BALLAS RD, CREVE COEUR, MO 63141-6732
(314) 569-3141
Mailing address
677 N NEW BALLAS RD, CREVE COEUR, MO 63141-6732
(314) 569-3141
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
014836
MO
Other
Enumeration date
11/08/2006
Last updated
07/08/2007
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