NPI | 1720443567 |
---|---|
Doing Business As | CARDINAL DENTAL |
Entity Type | Organization |
Authorized Contact | CYNTHIA BLALOCK Owner 636-441-7440 |
Organization Subpart ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: MO 2011015404) |
Enumeration Date | 2015-12-21 |
Last Update Date | 2015-12-21 |