| NPI | 1396113080 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEVIN POSTOL Owner 636-394-9587 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| Additional Taxonomies | 122300000X Dentist |
| Enumeration Date | 2015-09-11 |
| Last Update Date | 2024-03-02 |