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 |