| NPI | 1588878292 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATTHEW AARON GASSEN President, Dentist 573-634-3050 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: MO 2001012606) |
| Enumeration Date | 2007-05-10 |
| Last Update Date | 2020-08-22 |