| NPI | 1407041361 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREGORY W UELK President 314-739-4100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MO de015221) |
| Enumeration Date | 2007-09-12 |
| Last Update Date | 2007-09-12 |