NPI | 1003035296 |
---|---|
Entity Type | Organization |
Authorized Contact | JOSEPH M ZEIGLER President 314-872-7590 |
Organization Subpart ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: MO 015109) |
Additional Taxonomies | 122300000X Dentist (Licence: MO 014906) |
Enumeration Date | 2007-04-25 |
Last Update Date | 2020-08-22 |