Individual
KENNETH L AUSMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
10745 SUNSET HILLS PLZ, SAINT LOUIS, MO 63127-1207
(314) 821-7096
(314) 821-4399
Mailing address
6680 CHIPPEWA ST, SUITE 100-101, SAINT LOUIS, MO 63109-2537
(314) 353-8994
(314) 353-8997
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
015564
MO
Other
Enumeration date
01/31/2007
Last updated
07/08/2007
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