| NPI | 1205232295 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALLAN LENNOX LINK Practice Owner 314-540-0658 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MO 13564) |
| Enumeration Date | 2014-11-18 |
| Last Update Date | 2021-08-23 |