| NPI | 1427324284 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DENNIS M ANGLIM General Dentist 314-291-4424 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: MO 12882) |
| Enumeration Date | 2012-03-27 |
| Last Update Date | 2012-03-27 |