NPI | 1578620357 |
---|---|
Doing Business As | SUNSET TOWER FAMILY DENTISTRY |
Entity Type | Organization |
Authorized Contact | SUZANNE DEGNEN DEPENALOZA President 314-849-5600 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MO 014734) |
Enumeration Date | 2007-01-02 |
Last Update Date | 2020-08-22 |