| NPI | 1518094903 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIMOTHY ALTON SCHAIBLE President 636-279-1633 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MO 14957) |
| Enumeration Date | 2007-02-27 |
| Last Update Date | 2016-02-11 |