Individual
DR. MATTHEW DAVID GREAVES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS, MS
Contact information
Practice address
1500 PARK AVE, SAINT LOUIS, MO 63104-3024
(314) 685-3571
Mailing address
1500 PARK AVE, SAINT LOUIS, MO 63104-3024
(314) 685-3571
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2017019201
MO
Other
Enumeration date
01/29/2014
Last updated
03/19/2018
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