| NPI | 1558544155 |
|---|---|
| Doing Business As | O'FALLON DENTAL CARE |
| Entity Type | Organization |
| Authorized Contact | DENNIS SENDEROVICH President 636-561-7072 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: MO 2002011686) |
| Enumeration Date | 2007-12-06 |
| Last Update Date | 2007-12-06 |