Organization
WESTPORT PERIODONTICS P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GEORGE H. KYD III D.D.S. (PRESIDENT)
(314) 434-4676
Entity
Organization
Contact information
Practice address
77 WESTPORT PLZ, SUITE 367, SAINT LOUIS, MO 63146-3107
(314) 434-4676
(314) 434-6806
Mailing address
77 WESTPORT PLZ, SUITE 367, SAINT LOUIS, MO 63146-3107
(314) 434-4676
(314) 434-6806
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
—
MO
Other
Enumeration date
01/05/2007
Last updated
08/22/2020
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