NPI | 1184798951 |
---|---|
Doing Business As | DBA CLAYMONT DENTAL CARE INC |
Entity Type | Organization |
Authorized Contact | SANFORD I WAX President Dentist Owner 636-227-1161 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MO 11565) |
Enumeration Date | 2006-11-20 |
Last Update Date | 2020-08-22 |