| NPI | 1700188703 |
|---|---|
| Other Name | CAULKS HILL DENTAL |
| Entity Type | Organization |
| Authorized Contact | ROBERT WELDON THOMPSON Tres/Sec 636-441-3430 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MO 013954) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: MO 013916) |
| Enumeration Date | 2010-11-23 |
| Last Update Date | 2010-11-23 |