| NPI | 1407943350 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES L UNGER President 636-439-3777 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: MO 012244) |
| Enumeration Date | 2006-10-10 |
| Last Update Date | 2020-08-22 |