NPI | 1720075005 |
---|---|
Doing Business As | SOUTH ST. LOUIS DENTAL GROUP |
Entity Type | Organization |
Authorized Contact | LESTER C JOERN President 314-752-7468 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MO 12510) |
Enumeration Date | 2005-10-03 |
Last Update Date | 2020-08-22 |