| NPI | 1366597197 |
|---|---|
| Doing Business As | ST. ROBERT FAMILY DENTAL CENTER |
| Entity Type | Organization |
| Authorized Contact | JEREMY C KIERSZ Dentist 573-336-5599 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MO 015882) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: MO 016051) |
| Enumeration Date | 2007-01-24 |
| Last Update Date | 2020-08-22 |