Organization
KENNERLY DENTAL GROUP, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EDWIN RICHARD SCHERTZER JR. D.D.S. (PRESIDENT)
(314) 842-5177
Entity
Organization
Contact information
Practice address
9906 KENNERLY RD, SAINT LOUIS, MO 63128-2704
(314) 842-5177
(314) 842-9935
Mailing address
9906 KENNERLY RD, SAINT LOUIS, MO 63128-2704
(314) 842-5177
(314) 842-9935
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
012378
MO
Other
Enumeration date
07/26/2006
Last updated
08/22/2020
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