Organization
KLEITZ DMD RICHARDSON DMD PC
Active
Other names
Des Peres Dental Group Inc
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DONALD GLENN RICHARDSON DMD (VP)
(314) 822-3868
Entity
Organization
Contact information
Practice address
13603 BARRETT OFFICE DRIVE, STE 104, ST LOUIS, MO 63021-7828
(314) 822-3868
(314) 822-1101
Mailing address
13603 BARRETT OFFICE DRIVE, STE 104, ST LOUIS, MO 63021-7828
(314) 822-3868
(314) 822-1101
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
12222
MO
1223G0001X
General Practice Dentistry
Primary
12234
MO
Other
Enumeration date
01/09/2007
Last updated
08/22/2020
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