Organization
AZADEH AFSHARI, DDS LLC
Active
Other names
Oral and Maxillofacial Prosthodontics
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ANN VITALE (PRACTICE ADMINISTRATOR)
(314) 362-8574
Entity
Organization
Contact information
Practice address
517 S EUCLID AVE BLDG STE 819, SAINT LOUIS, MO 63110-1007
(314) 362-8574
Mailing address
517 SOUTH EUCLID AVE, MCMILLAN BLDG STE 819, SAINT LOUIS, MO 63110-1007
Taxonomy
Speciality
Code
Description
License number
State
1223P0700X
Prosthodontics
Primary
—
—
Other
Enumeration date
06/01/2017
Last updated
06/01/2017
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