| NPI | 1063426658 |
|---|---|
| Doing Business As | THE DENTAL ANESTHESIA CENTER |
| Entity Type | Organization |
| Authorized Contact | MARY BOMMARITO Practice Adm 314-862-7844 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MO 015074) |
| Enumeration Date | 2006-07-28 |
| Last Update Date | 2020-08-22 |