NPI | 1205081379 |
---|---|
Entity Type | Organization |
Authorized Contact | JONATHAN T MEARS Dentist 636-464-6668 |
Organization Subpart ? | No |
Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: MO 2007010353) |
Enumeration Date | 2008-11-17 |
Last Update Date | 2008-11-17 |