| NPI | 1376718213 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRUCE H. COLLIGNON President 636-671-0102 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MO 012256) |
| Enumeration Date | 2008-04-22 |
| Last Update Date | 2008-04-22 |