| NPI | 1710539937 |
|---|---|
| Doing Business As | GREENTREE PEDIATRIC DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | MAREN L PRATT Pediatric Dentist 314-671-4019 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry |
| Enumeration Date | 2019-07-09 |
| Last Update Date | 2023-09-12 |