| NPI | 1558559948 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDWARD F TATE Owner/President 314-830-9400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: MO 011124) |
| Enumeration Date | 2007-10-10 |
| Last Update Date | 2013-07-23 |