| NPI | 1477701951 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MONROE MITCHELL GINSBURG Member/Owner 636-928-0880 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MO DE013782) |
| Enumeration Date | 2008-09-08 |
| Last Update Date | 2008-09-08 |