NPI | 1053862961 |
---|---|
Doing Business As | DR. MARYANA KIROLOS |
Entity Type | Organization |
Authorized Contact | MARYANA KIROLOS Owner/Dentist 636-240-6858 |
Organization Subpart ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: MO 20125019136) |
Enumeration Date | 2016-10-17 |
Last Update Date | 2016-10-17 |