| NPI | 1598067357 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HOMER R TOURKAKIS Dentist/Owner 636-461-0093 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: MO 14159) |
| Enumeration Date | 2010-11-30 |
| Last Update Date | 2010-11-30 |