| NPI | 1750176103 |
|---|---|
| Doing Business As | ADVANCED DENTISTRY OF O'FALLON |
| Entity Type | Organization |
| Authorized Contact | STACEY BARNES Practice Manager 636-978-7816 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2025-04-14 |
| Last Update Date | 2025-04-14 |