NPI | 1639263460 |
---|---|
Doing Business As | FAMILY DENTISTRY OF ST. PETERS |
Entity Type | Organization |
Authorized Contact | MARK R ZUST President 636-928-1100 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MO 12123) |
Enumeration Date | 2006-10-03 |
Last Update Date | 2010-04-06 |