NPI | 1346268224 |
---|---|
Doing Business As | CHESTERFIELD DENTAL ASSOCIATES, INC. |
Entity Type | Organization |
Authorized Contact | CHARLES E JOHNSON President 636-532-3208 |
Organization Subpart ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: MO 12610) |
Enumeration Date | 2006-07-18 |
Last Update Date | 2020-08-22 |