Search › Missouri › 363A00000X
Daniel Souvannarath
NPI 1174144828 · on the registry since 2020
Practice
- Address
- 12266 De Paul Dr Ste 310
Bridgeton, MO 63044 - Phone
- (314) 209-5171
- Organisation at this address
- Ardaman S Nanda Inc
Thomas Gotsis Dds Pc
Patrick Mcdonough Llc
Midwest Dental Sleep Medicine Institute,LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 54
Additional practice sites
- 3437 Caroline St Ste 3082, Saint Louis, MO
Registry record
- Primary taxonomy
- 363A00000X
363A00000X
- Also registered as
- 363A00000X
- Licence states on file
- MO
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2021-09-13
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