| NPI | 1871697185 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELA DIANNE KLING Orthodontist Owner 314-837-5787 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist Orthodontics and Dentofacial Orthopedics (Licence: MO 13121) |
| Enumeration Date | 2006-09-08 |
| Last Update Date | 2020-08-22 |