| NPI | 1760515209 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHEN C SNITZER President 314-434-2101 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0300X Dentist Periodontics (Licence: MO 13020) |
| Enumeration Date | 2007-03-13 |
| Last Update Date | 2020-08-22 |