NPI | 1013386598 |
---|---|
Doing Business As | ZIEBA FAMILY DENTISTRY |
Entity Type | Organization |
Authorized Contact | CHARLES M. ZIEBA Dentist/Owner 636-391-6030 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MO 2000169958) |
Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: MO 2000165488) |
Enumeration Date | 2015-09-15 |
Last Update Date | 2015-09-15 |