| NPI | 1205946787 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENNETH E KRAM Oral Surgeon 314-569-2201 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist Oral and Maxillofacial Surgery (Licence: MO 13560) |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2008-09-25 |