Individual
DR. BARRY S GOLDENBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D., M.S., P.C.
Contact information
Practice address
777 S NEW BALLAS RD, SUITE 213-E, SAINT LOUIS, MO 63141-8705
(314) 997-7972
(314) 997-7978
Mailing address
777 S NEW BALLAS RD, SUITE 213-E, SAINT LOUIS, MO 63141-8705
(314) 997-7972
(314) 997-7978
Taxonomy
Speciality
Code
Description
License number
State
1223P0700X
Prosthodontics
Primary
013811
MO
Other
Enumeration date
03/20/2012
Last updated
03/20/2012
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