Individual
DR. MARWAN ASSAF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD,MSD
Contact information
Practice address
11709 OLD BALLAS RD, SUITE 206, SAINT LOUIS, MO 63141-7029
(314) 567-3760
(314) 567-3929
Mailing address
11709 OLD BALLAS RD, SUITE # 206, SAINT LOUIS, MO 63141-7029
(314) 567-3760
(314) 567-3929
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
014247
MO
Other
Enumeration date
03/07/2007
Last updated
04/30/2008
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