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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

AZARYAS TADIWOS MANDEFRO, DMD

Active Sole Proprietor

AZARYAS TADIWOS MANDEFRO, DMD is a Dentist healthcare provider located in ARNOLD, Missouri. NPI 1881922193 is currently active in the NPPES registry. Verify at CMS.

Dentist · ARNOLD, MO

Registration Details

NPI Number
1881922193
Provider Type
Individual
Gender
Male
NPI Issued
Nov 24, 2009 (16.703979440069 yrs)
Last Updated
May 6, 2025
License
2009032198 (MO)
Sole Proprietor
Yes

Practice Information

Address
3850 JEFFCO BLVD
ARNOLD, MO, 63010
Browse MO providers · Browse ZIP 63010
Phone
6363333304
Fax
6363333307
Primary Specialty
Dentist
122300000X

Other Dentist Providers in ARNOLD, MO

Name Credential NPI
HOMER R TOURKAKIS DDS 1760463335
RICHARD JOSEPH TOSIE DDS 1114089182
DR. JOSEPH HICKMAN LAWS DMD 1467519405
DR. STEPHEN OWEN DMD 1083753586
DR. MARK KUCHARCZYK DMD 1841333275
DR. STEVEN PAUL CAJIGAL D.D.S. 1134251937
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.