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Contact Information

SOUTHWEST ENDODONTIC ASSOC.
6651 CHIPPEWA
SUITE 323
SAINT LOUIS, MO63109
 Phone: 314-781-1919
 Fax: 314-781-0880
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Endodontics

1223E0200X
Indicates primary specialty

NPI Profile & details for SOUTHWEST ENDODONTIC ASSOC · (Female)

NPI # 1417218249
Status Active
Credentials
Entity Individual
Enumeration date 06/07/2012
Last updated 06/07/2012 - About 14 years ago
Sole proprietor 1 Not specified
Identifiers
  • MD License # 14082
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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