Organization
SOUTHWEST ENDODONTICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIMOTHY P MAHER DDS (BOARD MEMBER)
(314) 822-2210
Entity
Organization
Contact information
Practice address
10777 SUNSET OFFICE DR STE 100, SAINT LOUIS, MO 63127-1019
(314) 822-2210
(314) 822-7633
Mailing address
10777 SUNSET OFFICE DR STE 100, SAINT LOUIS, MO 63127-1019
(314) 822-2210
(314) 822-7633
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
015204
MO
Other
Enumeration date
11/09/2006
Last updated
05/08/2012
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