| NPI | 1710132873 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT ALLEN LEVY Dentist/Owner 314-569-0106 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: MO 13563) |
| Enumeration Date | 2008-11-17 |
| Last Update Date | 2013-03-06 |