Individual
SEAN LANDGRAF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
504 N NEW FLORISSANT RD, FLORISSANT, MO 63031-4802
(314) 831-8500
Mailing address
504 N NEW FLORISSANT RD, FLORISSANT, MO 63031-4802
(314) 831-8500
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2014016815
MO
Other
Enumeration date
06/12/2014
Last updated
06/12/2014
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