| NPI | 1790990232 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREGORY L PALOZOLA President 314-989-1999 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MO 014400) |
| Enumeration Date | 2007-05-10 |
| Last Update Date | 2020-08-22 |