| NPI | 1598094682 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBYN DAWN SAVAGE Office Manager 573-334-4455 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223E0200X Dentist, Endodontics (Licence: MO 2008006634) |
| Enumeration Date | 2009-12-18 |
| Last Update Date | 2009-12-18 |