NPI | 1134240674 |
---|---|
Doing Business As | HAWTHORN DENTAL, MEHLVILLE |
Entity Type | Organization |
Authorized Contact | ARTHUR THOMAS WESTPHAL Co President 314-487-0200 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MO 13977) |
Enumeration Date | 2007-04-03 |
Last Update Date | 2020-08-22 |