| NPI | 1528205267 |
|---|---|
| Doing Business As | WARRENTON ORTHODONTICS |
| Entity Type | Organization |
| Authorized Contact | BRENT DEE BANKHEAD President 636-978-8848 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: MO 015876) |
| Enumeration Date | 2009-01-16 |
| Last Update Date | 2009-01-16 |