| NPI | 1821487596 |
|---|---|
| Doing Business As | CREVE COEUR DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | ALEX SHARIFIAN Owner 314-355-2000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Enumeration Date | 2015-01-17 |
| Last Update Date | 2015-01-17 |