| NPI | 1205251949 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PETER M CRUMP Owner 314-962-6242 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2014-03-04 |
| Last Update Date | 2014-03-04 |