NPI | 1336365956 |
---|---|
Doing Business As | ST. LOUIS SOUTH ORAL SURGERY |
Entity Type | Organization |
Authorized Contact | DANA M POPPE Practice Administrator 314-842-4699 |
Organization Subpart ? | No |
Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery |
Enumeration Date | 2007-04-18 |
Last Update Date | 2023-06-30 |