| NPI | 1114465705 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER HILL Owner/Dentist 314-678-7876 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: MO 15770) |
| Enumeration Date | 2017-02-03 |
| Last Update Date | 2017-02-03 |