| NPI | 1083819189 |
|---|---|
| Doing Business As | SEVENS DENTAL GROUP |
| Entity Type | Organization |
| Authorized Contact | STEVEN RAY DEDRICKSON Owner 314-721-2466 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: MO 14621) |
| Enumeration Date | 2007-06-19 |
| Last Update Date | 2020-08-22 |