| NPI | 1730544818 |
|---|---|
| Doing Business As | PEDIATRIC DENTISTRY OF SUNSET HILLS |
| Entity Type | Organization |
| Authorized Contact | DANIEL AUTRY Owner 314-822-2764 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: MO 015079) |
| Additional Taxonomies | 1223P0221X Dentist, Pediatric Dentistry (Licence: MO 015561) |
| 1223P0221X Dentist, Pediatric Dentistry (Licence: MO 2004013229) | |
| 1223P0221X Dentist, Pediatric Dentistry (Licence: MO 2005019770) | |
| 1223P0221X Dentist, Pediatric Dentistry (Licence: MO 2013016355) | |
| 1223P0221X Dentist, Pediatric Dentistry (Licence: MO 2014017371) | |
| Enumeration Date | 2015-12-16 |
| Last Update Date | 2015-12-16 |