| NPI | 1215406756 |
|---|---|
| Doing Business As | INWOOD VILLAGE COSMETIC & IMPLANTS |
| Entity Type | Organization |
| Authorized Contact | ASHLY SUNSHINE Credentialing Specialist 636-362-4986 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 122300000X Dentist |
| Enumeration Date | 2018-11-14 |
| Last Update Date | 2023-01-26 |