| NPI | 1235771155 |
|---|---|
| Doing Business As | SOUTH COUNTY COMPLETE DENTAL CARE |
| Entity Type | Organization |
| Authorized Contact | JAMES T. FETSCH Member 314-849-3234 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2019-10-11 |
| Last Update Date | 2019-10-11 |