NPI | 1013134923 |
---|---|
Entity Type | Organization |
Authorized Contact | BRIAN T DENT Owner 314-895-3328 |
Organization Subpart ? | No |
Primary Taxonomy | 111NS0005X Chiropractor, Sports Physician (Licence: MO 005912) |
Enumeration Date | 2007-04-20 |
Last Update Date | 2007-12-04 |