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 |