| NPI | 1508993510 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIMOTHY ALTON SCHAIBLE President 314-355-5700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MO 14957) |
| Enumeration Date | 2007-02-27 |
| Last Update Date | 2008-02-27 |