| NPI | 1902090277 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIMOTHY G CASE Doctor 314-351-5555 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MO AC1905427) |
| Enumeration Date | 2007-08-30 |
| Last Update Date | 2007-08-30 |