| NPI | 1003023805 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | DENNIS SCHULZE President 636-926-9221 | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MO 014632) | 
| Enumeration Date | 2007-05-17 | 
| Last Update Date | 2020-08-22 |