NPI 1063593838

Eugenio G Herbosa, DMDMMSC

Practitioner Oral & Maxillofacial Surgery (D.M.D.) St Louis, MO

Practice location

Address: 12818 Tesson Ferry Road Suite 204, St Louis, MO 63128
Phone: (314) 842-0020
Fax: (314) 842-1590
Mailing address: 1034 S Brentwood Suite 1010, St Louis, MO 63128

Registered specialties

Oral & Maxillofacial Surgery (D.M.D.) Primary

Allopathic & Osteopathic Physicians Taxonomy 204E00000X Licence 15229 (MO)

Other Oral & Maxillofacial Surgery providers in Missouri →

Registry record

NPI: 1063593838
Entity type: Individual
Sex (as registered): Male
NPI issued: 18 Oct 2006
Record last updated: 8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.