| NPI | 1023403433 |
|---|---|
| Doing Business As | LIFEPOINT DENTAL GROUP OF ST. CHARLES |
| Entity Type | Organization |
| Authorized Contact | AARON BLASS President 515-965-1800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Enumeration Date | 2015-04-02 |
| Last Update Date | 2015-04-02 |