| NPI | 1295945665 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN THOMAS DOYLE Owner 314-353-0900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MO DE014324) |
| Enumeration Date | 2007-05-23 |
| Last Update Date | 2020-08-22 |