Search › Missouri › 122300000X
Azaryas Mandefro, DMD
NPI 1881922193 · on the registry since 2009 · sole proprietor
Practice
- Address
- 3850 Jeffco Blvd
Arnold, MO 63010 - Phone
- (636) 333-3304
- Fax
- (636) 333-3307
Registry record
- Primary taxonomy
- 122300000X
122300000X
- Licence states on file
- MO
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2025-05-06
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