| NPI | 1750537320 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT R. SCHLUETER President 314-842-6151 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0300X Dentist, Periodontics (Licence: MO 2000152726) |
| Enumeration Date | 2008-08-14 |
| Last Update Date | 2008-08-14 |