| NPI | 1346598661 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BYRON V DUVALL Owner 314-776-7100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice |
| Additional Taxonomies | 1223E0200X Dentist Endodontics |
| 1223P0221X Dentist Pediatric Dentistry | |
| 1223P0300X Dentist Periodontics | |
| 1223P0700X Dentist Prosthodontics | |
| Enumeration Date | 2012-08-16 |
| Last Update Date | 2012-08-16 |