Mr. Simon Tadros
Mr. Simon Tadros is a Student in an Organized Health Care Education/Training Program in Saint Louis, Missouri. Licensed in Indiana. Registered with an NPI since 2023.
- Licensed in
- IN
- In the registry since
- 2023
- Specialties on file
- 2
Practice location Address checks out
1500 Park AveSaint Louis, MO 63104-3024
Phone: (314) 833-2700
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Specialties & licences
| General Practice Dentistry (primary) | Taxonomy 1223G0001X · Licence 12014497A (IN) |
|---|---|
| Student in an Organized Health Care Education/Training Program | Taxonomy 390200000X |
Record details
| NPI number | 1528742384 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | June 12, 2023 |
| Last updated in NPPES | September 25, 2024 |
| Certification date | September 11, 2024 |
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