| NPI | 1649610668 |
|---|---|
| Doing Business As | MEHLVILLE MODERN DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | ALEX R SHARIFIAN Owner 314-845-2730 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2013-07-05 |
| Last Update Date | 2013-07-05 |