| NPI | 1437351608 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PENNY W SNELSON Financial COO Rdinator 636-391-9170 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist Orthodontics and Dentofacial Orthopedics (Licence: MO 13608) |
| Enumeration Date | 2007-06-01 |
| Last Update Date | 2020-08-22 |