| NPI | 1043485386 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LORI KAY HOLCOMB President 314-514-0660 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MO 014594) |
| Enumeration Date | 2008-04-28 |
| Last Update Date | 2008-04-28 |