EDWARD S CZEBRINSKI DMD PC
Medical Practice in Saint Louis, MO

License number
Missouri MO GEN #011763
Category
Medical Practice
Type
Oral & Maxillofacial Surgery
License number
Missouri MO SPEC #00483
Category
Medical Practice
Type
Oral & Maxillofacial Surgery
Owner
Name: DR. EDWARD STEVEN CZEBRINSKI DMD
Title: PRESIDENT OWNER SURGEON
Phone: (314) 878-1401
Address
Address
77 Westport Plaza Medical Ctr SUITE 356, Saint Louis, MO 63146
National Provider ID: 1376607416
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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EDWARD S. CZEBRINSKI, D.M.D., PC

77 Westport Plz SUITE 356, Saint Louis, MO 63146

Status:
Inactive
Registration:
Dec 30, 1982
State ID:
P00247855
Business type:
Professional Corporation
Expiration:
Perpetual
Agent:
Edward S. Czebrinski,77 Westport Plz, Saint Louis, MO 63146 (Physical)

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