| NPI | 1336689660 |
|---|---|
| Doing Business As | ST GEORGE FAMILY DENTAL |
| Entity Type | Organization |
| Authorized Contact | MATTHEW ST GEORGE Owner 573-642-6904 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MO 2008014167) |
| Enumeration Date | 2017-03-06 |
| Last Update Date | 2017-03-06 |