Individual
BYRON V DUVALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2600 CHOUTEAU AVE, ST LOUIS, MO 63103
(314) 776-7100
(314) 776-7649
Mailing address
2600 CHOUTEAU AVE, ST LOUIS, MO 63103
(314) 776-7100
(314) 776-7649
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
13419
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
401339304
—
MO
Enumeration date
11/09/2006
Last updated
11/03/2011
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