| NPI | 1700151768 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT COYLE Owner 573-874-1990 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: MO LC1018573) |
| Enumeration Date | 2012-03-09 |
| Last Update Date | 2012-03-09 |