Individual
DR. CARLOS E PIRELA GOMEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
11642 W FLORISSANT AVE, FLORISSANT, MO 63033-6723
(314) 367-7848
Mailing address
11642 W FLORISSANT AVE, FLORISSANT, MO 63033-6723
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2022003092
MO
1223G0001X
General Practice Dentistry
019.031894
IL
Other
Enumeration date
03/11/2009
Last updated
06/17/2022
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