| NPI | 1518339258 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEITH ROBINSON Dentist 314-643-6416 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: MO 2013016294) |
| Enumeration Date | 2015-10-21 |
| Last Update Date | 2015-10-21 |