| NPI | 1760549380 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL PAUL FRITH Owner 636-394-5200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MO 013441) |
| Enumeration Date | 2007-01-02 |
| Last Update Date | 2008-10-02 |