Individual
DR. CYRUS M ALIZADEH
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1302 CLARKSON CLAYTON CTR, SUITE 206, ELLISVILLE, MO 63011-2174
(636) 394-5455
(636) 394-5163
Mailing address
17954 SADDLE HORN RD, WILDWOOD, MO 63038-1300
(636) 458-2437
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
14488
MO
Other
Enumeration date
08/11/2005
Last updated
07/08/2007
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