Theodore Anthony Rechtin, D.D.S. Valid NPI

Individual provider · General Practice Dentistry · Bridgeton, MO

NPI

1871607994

Type

Individual (Type 1)

Primary specialty

General Practice Dentistry (Dentist)

Specialty group

Dental Providers

Taxonomy code

1223G0001X

License number

2000157414 (MO)

Sex

Male

Sole proprietor

Yes

Enumerated

2006-08-18

Last updated

2018-11-14