| NPI | 1033383997 |
|---|---|
| Doing Business As | PHOENIX VILLAGE DENTAL |
| Entity Type | Organization |
| Authorized Contact | SHERRYL K. SCHOENING Owner 636-561-1154 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MO 014964) |
| Enumeration Date | 2008-04-22 |
| Last Update Date | 2008-04-22 |