NPI | 1083853287 |
---|---|
Entity Type | Organization |
Authorized Contact | SUSAN E. LITTEKEN President 636-724-0220 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MO DEN 015234) |
Enumeration Date | 2009-02-11 |
Last Update Date | 2009-02-11 |