Organization
POUREDOUT DENTAL GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIMBERLEE MINOR (OFFICE MANAGER)
(573) 205-2230
Entity
Organization
Contact information
Practice address
10777 SUNSET OFFICE DR, SAINT LOUIS, MO 63127-1052
(573) 261-4399
Mailing address
10777 SUNSET OFFICE DR, SAINT LOUIS, MO 63127-1052
(573) 261-4399
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
03/09/2026
Last updated
03/09/2026
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