Mark Eidelman, DDS

NPI 1154468858 · on the registry since 2007

Practice

Address: 300 Mid Rivers Mall Dr
Saint Peters, MO 63376
Phone: (636) 397-5883
Fax: (636) 397-5887
Organisation at this address: David Guilbeault Dmd Mid Rivers Dental Group
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 2

Registry record

Primary taxonomy: 1223G0001X
1223G0001X
Licence states on file: MO
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2007-07-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Missouri