| NPI | 1194256354 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARILEANA GARCIA CORRETJER Doctor Owner 636-220-3553 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223E0200X Dentist, Endodontics (Licence: MO 2010015739) |
| Enumeration Date | 2017-03-21 |
| Last Update Date | 2017-03-21 |