NPI | 1639237274 |
---|---|
Entity Type | Organization |
Authorized Contact | WILLIAM J MILLER Owner Partner 314-838-3033 |
Organization Subpart ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: MO 2001014860) |
Additional Taxonomies | 122300000X Dentist (Licence: MO 11910) |
122300000X Dentist (Licence: MO 2000167581) | |
Enumeration Date | 2006-12-05 |
Last Update Date | 2008-07-25 |