| NPI | 1881821809 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH M DORSEY Sole Propreitor 314-830-2946 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2009-06-17 |
| Last Update Date | 2009-06-17 |