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 |