NPI | 1902964752 |
---|---|
Entity Type | Organization |
Authorized Contact | STEVEN LEVITT President 314-567-1122 |
Organization Subpart ? | No |
Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: MO 11321) |
Enumeration Date | 2006-12-05 |
Last Update Date | 2020-08-22 |