Individual
DR. MARK STEVEN ENGELHARDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DR.
Contact information
Practice address
211 OLD MERAMEC STATION RD, MANCHESTER, MO 63021-5310
(636) 207-0021
Mailing address
211 OLD MERAMEC STATION RD, MANCHESTER, MO 63021-5310
(636) 207-0021
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
14455
MO
Other
Enumeration date
11/16/2006
Last updated
07/08/2007
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