| NPI | 1124212790 |
|---|---|
| Former Legal Business Name | GEORGE V. DUELLO |
| Entity Type | Organization |
| Authorized Contact | GEORGE V DUELLO Dr. 314-965-3271 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0300X Dentist, Periodontics (Licence: MO 013097) |
| Enumeration Date | 2007-08-28 |
| Last Update Date | 2007-08-28 |