| NPI | 1649489113 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENNETH L AUSMER President 314-653-1200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MO 015564) |
| Enumeration Date | 2007-05-22 |
| Last Update Date | 2020-08-22 |