| NPI | 1417185299 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CATHERINE CAROLINE O'BRIEN Office Manager 636-391-1186 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: MO 11011) |
| Enumeration Date | 2009-06-30 |
| Last Update Date | 2009-06-30 |