| NPI | 1538364153 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS C DELANEY Owner 636-327-5188 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MO 13386) |
| Enumeration Date | 2007-06-15 |
| Last Update Date | 2007-08-21 |