| NPI | 1336250802 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVEN DAVIS WEST President/ Dentist 314-849-3234 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MO 014385) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: MO 011279) |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2014-04-24 |