Organization
ENDODONTICS SOUTH, LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARVIN LEIGH SPEER DDS MS (OWNER)
(636) 933-7001
Entity
Organization
Contact information
Practice address
1431 US HWY 61 SO, FESTUS, MO 63028
(636) 933-7001
(636) 933-7002
Mailing address
1431 US HIGHWAY 61, FESTUS, MO 63028-4109
(636) 933-7001
(636) 933-7002
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
012432
MO
Other
Enumeration date
07/20/2009
Last updated
07/20/2009
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