NPI | 1174775407 |
---|---|
Entity Type | Organization |
Authorized Contact | GREGORY S ST. JOHN President 636-458-9300 |
Organization Subpart ? | No |
Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: MO 014718) |
Enumeration Date | 2008-10-17 |
Last Update Date | 2008-10-17 |