NPI | 1164039558 |
---|---|
Doing Business As | TOWN CENTER DENTAL |
Entity Type | Organization |
Authorized Contact | TRISTAN WAMPLER Office Manager 636-273-5866 |
Organization Subpart ? | No |
Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
Enumeration Date | 2020-09-29 |
Last Update Date | 2020-09-29 |