NPI | 1104049618 |
---|---|
Doing Business As | DOWNTOWN DENTAL ASSOCIATES |
Entity Type | Organization |
Authorized Contact | PAULINE R RAY Office Manager 314-241-4232 |
Organization Subpart ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: MO 9210) |
Enumeration Date | 2007-04-11 |
Last Update Date | 2020-08-22 |