| NPI | 1063804789 |
|---|---|
| Doing Business As | FLORISSANT DENTAL GROUP |
| Entity Type | Organization |
| Authorized Contact | DAVID GUILBEAULT Dentist/Owner 618-248-2038 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MO 2000174030) |
| Enumeration Date | 2015-03-04 |
| Last Update Date | 2015-03-04 |