Pedaitric Dental and Orthodontic Associates of St Louis
Pedaitric Dental and Orthodontic Associates of St Louis is a Pediatric Dentistry in Kirkwood, Missouri. Licensed in Missouri. Registered with an NPI since 2011.
- Licensed in
- MO
- In the registry since
- 2011
- Specialties on file
- 2
Practice location Address checks out
430 S Clay AveKirkwood, MO 63122-5808
Phone: (314) 965-7630
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Pediatric Dentistry (primary) | Taxonomy 1223P0221X · Licence 14227 (MO) |
|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry | Taxonomy 1223X0400X · Licence 14227 (MO) |
Record details
| NPI number | 1780989061 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Thomas Veraldi — Owner · (314) 965-7630 |
| NPI enumerated | January 19, 2011 |
| Last updated in NPPES | January 19, 2011 |
| Mailing address | 430 S Clay Ave, Kirkwood, MO 63122-5808 |