| NPI | 1720290372 |
|---|---|
| Doing Business As | PERIODONTAL SPECIALISTS , PC |
| Entity Type | Organization |
| Authorized Contact | VIDESH DAMODAR DESHMUKH President 314-725-4221 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0300X Dentist, Periodontics (Licence: MO 015495) |
| Enumeration Date | 2007-05-04 |
| Last Update Date | 2014-08-28 |