| NPI | 1699942995 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RONALD HAROLD SCHOOLMAN President 636-458-9090 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: MO 12317) |
| Enumeration Date | 2008-05-15 |
| Last Update Date | 2008-05-15 |