| NPI | 1750447165 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BARRY STEVEN GOLDENBERG President 314-997-7972 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0700X Dentist, Prosthodontics (Licence: MO 013811) |
| Enumeration Date | 2006-12-29 |
| Last Update Date | 2012-01-10 |