| NPI | 1174687776 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FEROZ A. KHAN President 636-949-5673 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MO 015116) |
| Enumeration Date | 2006-12-20 |
| Last Update Date | 2020-08-22 |