| NPI | 1205051737 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINDA LIDONG LIU Dentist 314-878-5828 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MO 2001018488) |
| Enumeration Date | 2007-04-17 |
| Last Update Date | 2014-12-05 |