| NPI | 1104377431 |
|---|---|
| Doing Business As | CARDINAL GLENNON PEDIATRIC DENTAL SPECIALTIES AT SAINT LOUIS UNIV |
| Entity Type | Organization |
| Authorized Contact | DANIEL C STOECKEL Program Director Pediatric Dentistr 314-977-8517 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: MO 2000174326) |
| Enumeration Date | 2016-10-21 |
| Last Update Date | 2016-10-21 |