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Individual

DR. DANIEL BIALECKI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
469 S KIRKWOOD RD, KIRKWOOD, MO 63122-6119
(314) 965-6503
(314) 965-7417
Mailing address
4909 LACLEDE AVE # 905, SAINT LOUIS, MO 63108-1459
(314) 965-6503
(314) 965-7417

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2003019884
MO

Other

Enumeration date
05/17/2007
Last updated
07/08/2007
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