| NPI | 1447457031 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WALTER DEAN WEST Dentist 314-842-4366 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MO 10542) |
| Enumeration Date | 2007-06-28 |
| Last Update Date | 2020-08-22 |