| NPI | 1417151218 |
|---|---|
| Doing Business As | DES PERES FAMILY DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | YAMUNA A MATHEW President 314-394-0540 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center Dental (Licence: MO P00809449) |
| Enumeration Date | 2007-06-13 |
| Last Update Date | 2020-08-22 |