| NPI | 1114707189 |
|---|---|
| Doing Business As | FESTUS SMILE CENTER |
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER J KOECHNER Owner 618-364-2411 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2023-10-05 |
| Last Update Date | 2023-10-05 |