| NPI | 1043324593 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THEODORE ANTHONY RECHTIN Owner 314-770-0400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MO 2000157414) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2006-08-19 |
| Last Update Date | 2018-11-14 |