YAMUNA MATHEW DDS PC
Dentist at Manchester Rd, Saint Louis, MO

License number
Missouri P00809449
Category
Ambulatory Health
Type
Dental
Owner
Name: DR. YAMUNA A MATHEW DDS
Title: PRESIDENT
Phone: (314) 394-0540
Address
Address
12360 Manchester Rd SUITE 201, Saint Louis, MO 63131
National Provider ID: 1417151218
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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Yamuna Mathew, DDS, PC

12360 Manchester Rd SUITE 201, Saint Louis, MO 63131

Registration:
Apr 16, 2007
State ID:
P00809449
Business type:
Professional Corporation
Expiration:
Perpetual
Agent:
Yamuna Mathew,12360 Manchester Rd SUITE 201, Saint Louis, MO 63131 (Physical)

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