| NPI | 1205146636 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MOHAMED ELSAFI Owner 314-362-8574 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0700X Dentist, Prosthodontics (Licence: MO 2010033134) |
| Enumeration Date | 2010-10-19 |
| Last Update Date | 2014-05-06 |