| NPI | 1902661168 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHRYN HOLTHAUS Owner / Pediatric Dentist 314-630-3689 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry |
| Enumeration Date | 2024-02-16 |
| Last Update Date | 2024-02-16 |