| NPI | 1447513916 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREGORY N NEWTON Owner 314-968-8005 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MO 13569) |
| Enumeration Date | 2012-06-20 |
| Last Update Date | 2012-06-20 |