NPI | 1588051239 |
---|---|
Doing Business As | MANCHESTER DENTAL GROUP |
Entity Type | Organization |
Authorized Contact | BRYAN K WATANABE Owner Doctor 636-527-0312 |
Organization Subpart ? | No |
Primary Taxonomy | 122300000X Dentist |
Enumeration Date | 2015-04-21 |
Last Update Date | 2015-04-21 |