| NPI | 1518134238 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BARRY D. BRACE Dentist/Owner 314-540-6159 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MO 012409) |
| Enumeration Date | 2008-05-12 |
| Last Update Date | 2018-09-20 |