| NPI | 1083168363 |
|---|---|
| Doing Business As | HEALTHY SMILES OF ST. LOUIS |
| Entity Type | Organization |
| Authorized Contact | THOMAS C FLAVIN Owner/General Dentist 314-832-1366 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MO 13614) |
| Enumeration Date | 2016-08-04 |
| Last Update Date | 2016-08-04 |