| 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 |