| NPI | 1679804157 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN C HOPPIN Periodontist 636-946-9890 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0300X Dentist, Periodontics (Licence: MO 011530) |
| Enumeration Date | 2010-01-22 |
| Last Update Date | 2010-01-22 |