Individual
DR. VIVEK SHARMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
B.D.S.,M.D.S.
Contact information
Practice address
11642 W FLORISSANT AVE, FLORISSANT, MO 63033
(314) 838-8220
Mailing address
11642 W FLORISSANT AVE, FLORISSANT, MO 63033
(424) 535-8427
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
019.033408
IL
122300000X
Dentist
Primary
2024005969
MO
Other
Enumeration date
09/27/2021
Last updated
07/24/2024
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