| NPI | 1255510988 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARSHA L MARDEN Owner 314-822-4521 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MO DE015190) |
| Enumeration Date | 2007-10-30 |
| Last Update Date | 2007-10-30 |