NPI | 1184788507 |
---|---|
Entity Type | Organization |
Authorized Contact | MARK D. MEYERS DDS President 314-849-1400 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MO 013134) |
Enumeration Date | 2006-12-20 |
Last Update Date | 2012-04-26 |