| NPI | 1568831857 |
|---|---|
| Doing Business As | ACTONDENTISTRY |
| Entity Type | Organization |
| Authorized Contact | MATTHEW S SLAVEN Dentist/Owner 636-226-5440 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: MO 2005014238) |
| Additional Taxonomies | 1223G0001X Dentist General Practice (Licence: MO 2008016064) |
| Enumeration Date | 2015-09-17 |
| Last Update Date | 2015-09-17 |