| NPI | 1255515995 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIMOTHY A SCHAIBLE General Dentist Owner 314-355-5700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MO 014957) |
| Enumeration Date | 2007-12-18 |
| Last Update Date | 2007-12-18 |