NPI | 1225115355 |
---|---|
Entity Type | Organization |
Authorized Contact | DENNIS P DONE President Owner 314-965-7220 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MO DEN014592) |
Enumeration Date | 2006-11-01 |
Last Update Date | 2020-08-22 |