| NPI | 1619168861 |
|---|---|
| Doing Business As | ST LOUIS SMILE CENTER |
| Entity Type | Organization |
| Authorized Contact | JAMES T MOORE President 314-298-7772 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MO 11925) |
| Enumeration Date | 2007-08-05 |
| Last Update Date | 2008-06-17 |