Organization
RUTH GOMES DMD, INC
Active
Other names
VivaSmiles
Organization subpart
No
Provider details
NPI number
Authorized official
ARMANDO GOMES (VP)
(314) 650-2390
Entity
Organization
Contact information
Practice address
141 N MERAMEC AVE, SAINT LOUIS, MO 63105-3393
(314) 727-3300
Mailing address
618 N NEW BALLAS RD, SAINT LOUIS, MO 63141-6763
(314) 650-2390
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
12/20/2007
Last updated
08/11/2021
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