Provider / Organization | NPI | Date Certified |
---|---|---|
SOGOL H BIROON | 1821607839 | 2020-07-26 |
Sogol H Biroon is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1821607839. Registration indicates Sogol H Biroon is a provider of access to dentists-general services with a specialization in Dental Providers, Dentist (Dental Providers, Dentist) (Dentist: General Practice, ) (Dental, ) (Dentist General Practice, Dental Providers) (Dentist, )
Entity Type | Individual |
Provider Name | Dr. Sogol H Biroon DMD |
Practice Office Address | 2800 COLLEGE AVE ALTON, IL US |
Practice Office Telephone | 6184747000 |
Mailing Address | 923 S HANLEY RD APT A CLAYTON, MO 631052665 US |
Business Telephone | 6175057684 |
Code | Practice | License No State |
---|---|---|
1223G0001X PRIMARY | Access to Dentists-General Dental Providers Dentist Dental Providers Dentist Dentist: General Practice Dental Dentist General Practice Dental Providers Dentist | 019.032731
IL |