| 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 |