| NPI | 1558873422 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AUSTYN LEHMUTH Owner 314-638-2121 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MO 2009013225) |
| Enumeration Date | 2017-10-31 |
| Last Update Date | 2017-10-31 |