| NPI | 1811910250 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDWIN RICHARD SCHERTZER President 314-842-5177 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MO 012378) |
| Enumeration Date | 2006-07-26 |
| Last Update Date | 2020-08-22 |