| NPI | 1467726851 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL MENSAH-BOATENG Dentist/President 573-529-6303 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: IN 12011454A) |
| Enumeration Date | 2012-03-02 |
| Last Update Date | 2012-03-02 |