| NPI | 1538630629 |
|---|---|
| Doing Business As | WEBSTER KIRKWOOD FAMILY DENTAL |
| Entity Type | Organization |
| Authorized Contact | ANNA HALLIE LILLMARS Owner 314-962-0880 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2018-12-16 |
| Last Update Date | 2018-12-16 |