| NPI | 1154004273 |
|---|---|
| Doing Business As | CREVE COEUR FAMILY AND SEDATION DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | BRANDON KRATZ Manager 417-988-2424 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2023-08-08 |
| Last Update Date | 2023-08-08 |