NPI | 1386656130 |
---|---|
Entity Type | Organization |
Authorized Contact | MARK F. HILTON Owner/President 314-831-4660 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MO DE014146) |
Enumeration Date | 2006-08-12 |
Last Update Date | 2010-01-07 |