Individual
DR. BRIAN JOSPEH OLIVEIRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
6650 CHIPPEWA ST, SAINT LOUIS, MO 63109-4742
(314) 457-0613
Mailing address
6013 MCPHERSON AVE, SAINT LOUIS, MO 63112-1305
(513) 673-1326
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
019.030750
IL
1223G0001X
General Practice Dentistry
Primary
2017026677
MO
Other
Enumeration date
06/28/2016
Last updated
07/21/2022
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