| 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 |