| NPI | 1689813347 |
|---|---|
| Doing Business As | ST. CHARLES COUNTY PERIODONTICS |
| Entity Type | Organization |
| Authorized Contact | JAMES A KOPFENSTEINER Business Owner 636-928-8790 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0300X Dentist, Periodontics (Licence: MO 015057) |
| Enumeration Date | 2009-02-19 |
| Last Update Date | 2009-04-30 |