| NPI | 1053881797 |
|---|---|
| Doing Business As | SOUTHAMPTON DENTAL |
| Entity Type | Organization |
| Authorized Contact | KATHERINE E WEYHAUPT Business Manager 314-647-2828 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2018-11-26 |
| Last Update Date | 2018-11-26 |