NPI | 1609995109 |
---|---|
Other Name | TRIAD DENTAL |
Entity Type | Organization |
Authorized Contact | JAMES GLENNON EVANS Dentist 636-441-7440 |
Organization Subpart ? | No |
Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: MO 013030) |
Enumeration Date | 2007-03-28 |
Last Update Date | 2020-08-22 |