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Organization

MISSOURI DENTAL PROFESSIONALS, RICHARD STRAUS, DMD, PC

Active
Parent organization
MISSOURI DENTAL PROFESSIONALS, RICHARD STRAUS, DMD, PC
Other names
MyWildwoodDentist.com
Organization subpart
Yes

Provider details

NPI number
Legal business name
MISSOURI DENTAL PROFESSIONALS, RICHARD STRAUS, DMD, PC
Authorized official
KENDRA WALKER (CREDENTIALING TEAM LEAD)
(217) 540-8513
Entity
Organization

Contact information

Practice address
2751 FOUNTAIN PLACE, SUITE 1, WILDWOOD, MO 63040-1202
(636) 273-9258
(636) 273-3710
Mailing address
2751 FOUNTAIN PLACE, SUITE 1, WILDWOOD, MO 63040-1202
(636) 273-9258
(636) 273-3710

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2001007168
MO

Other

Enumeration date
06/17/2010
Last updated
04/25/2018
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