NPI | 1710176359 |
---|---|
Entity Type | Organization |
Authorized Contact | JAMES LEO SCHMIDT President 314-968-7979 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MO 13996) |
Enumeration Date | 2007-10-19 |
Last Update Date | 2007-10-19 |