| NPI | 1174349369 |
|---|---|
| Doing Business As | REVIVE ENDODONTICS |
| Entity Type | Organization |
| Authorized Contact | SEAN GEARY Owner Dentist 314-680-8971 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223E0200X Dentist, Endodontics |
| Enumeration Date | 2024-12-03 |
| Last Update Date | 2024-12-03 |