| NPI | 1548552615 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTINA ANDREATTA Insurance COO Rdinator 314-361-0760 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MO 13723) |
| Enumeration Date | 2011-05-09 |
| Last Update Date | 2011-05-09 |