| NPI | 1447302161 |
|---|---|
| Doing Business As | ST. LOUIS CHILDREN'S HOSPITAL DENTAL CLINIC |
| Entity Type | Organization |
| Authorized Contact | TRISHA LOLLO President 314-996-8401 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: MO 324-2) |
| Enumeration Date | 2007-01-16 |
| Last Update Date | 2021-03-16 |