| NPI | 1417242777 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH M OLK President 314-918-9666 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MO 12532) |
| Enumeration Date | 2011-06-15 |
| Last Update Date | 2011-06-15 |