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Individual

DR. KONRAD LEOPOLD SPIRK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DMD

Contact information

Practice address
10000 WATSON ROAD, SUITE M, SAINT LOUIS, MO 63126-1842
(314) 965-2343
(314) 965-2343
Mailing address
10000 WATSON ROAD, SUITE M, SAINT LOUIS, MO 63126-1842
(314) 965-2343
(314) 965-2343

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
014615
MO

Other

Enumeration date
01/17/2007
Last updated
11/30/2011
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