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Contact Information

POOJA P DARA, DMD
5701 DELMAR BLVD
SAINT LOUIS, MO63112-2617
 Phone: 314-477-1891
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dental Public Health

1223D0001X
 

General Practice

1223G0001X
Indicates primary specialty

NPI Profile & details for POOJA P DARA · (Female)

NPI # 1285202531
Status Active
Credentials DMD (Doctor of Medical Dentistry)
Entity Individual
Enumeration date 06/14/2021
Last updated 02/15/2022 - About 4 years ago
Sole proprietor 1 No
Identifiers
  • IL License # 019.033174
  • MO License # 2021026770
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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