| NPI | 1447312541 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES PATRICK FISHER Partner 314-427-1400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MO 13470) |
| Enumeration Date | 2006-12-14 |
| Last Update Date | 2020-08-22 |