| NPI | 1598357923 |
|---|---|
| Doing Business As | CHESTERFIELD WOODLAKE DENTAL AND PROSTHODONTICS |
| Entity Type | Organization |
| Authorized Contact | PAUL DOUGLAS EDGERLEY Prosthodontist/Dentist 314-878-8880 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0700X Dentist, Prosthodontics |
| Additional Taxonomies | 122300000X Dentist |
| Enumeration Date | 2021-02-08 |
| Last Update Date | 2024-01-30 |