| NPI | 1447362959 |
|---|---|
| Doing Business As | CONNELLY FAMILY DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | STEVEN R CONNELLY General Dentist Owner 314-965-3837 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MO 15329) |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2007-09-26 |