| NPI | 1700122793 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY ELLEN HELMKAMP Orthodontist/Owner 636-256-2626 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: MO 2011039843) |
| Enumeration Date | 2012-12-18 |
| Last Update Date | 2012-12-18 |