| NPI | 1073026670 |
|---|---|
| Doing Business As | BROOKSIDE FAMILY DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | MARIA-ANTONIA WINEMILLER Dentist 618-520-5175 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: MO 2010022548) |
| Enumeration Date | 2017-11-06 |
| Last Update Date | 2017-11-06 |