Organization
MISSOURI DENTAL PROFESSIONALS, RICHARD STRAUS, DMD, PC
Active
Parent organization
MISSOURI DENTAL PROFESSIONALS, RICHARD STRAUS, DMD, PC
Other names
Brevco Family Dentistry
Organization subpart
Yes
Provider details
NPI number
Legal business name
MISSOURI DENTAL PROFESSIONALS, RICHARD STRAUS, DMD, PC
Authorized official
KENDRA WALKER (CREDENTIALING TEAM LEAD)
(217) 540-8513
Entity
Organization
Contact information
Practice address
100 BREVCO PLAZA, SUITE 104, LAKE SAINT LOUIS, MO 63367
(636) 561-9000
(636) 561-9001
Mailing address
100 BREVCO PLAZA, SUITE 104, LAKE SAINT LOUIS, MO 63367
(636) 561-9000
(636) 561-9001
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
13950
MO
Other
Enumeration date
10/04/2007
Last updated
04/26/2018
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