Individual
DR. GHINA SAMAD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
11437 OLIVE BLVD, CREVE COEUR, MO 63141-7108
(314) 355-2000
Mailing address
5863 SUEMANDY DR, SAINT PETERS, MO 63376-4327
(636) 970-1460
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
019030061
IL
122300000X
Dentist
Primary
2015010816
MO
Other
Enumeration date
10/06/2014
Last updated
02/14/2020
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