NPI | 1417611948 |
---|---|
Entity Type | Organization |
Authorized Contact | SCOTT RUBIS Dentist 314-225-4256 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice |
Additional Taxonomies | 261QD0000X Clinic/Center, Dental |
Enumeration Date | 2021-10-31 |
Last Update Date | 2021-11-05 |