| NPI | 1912056151 |
|---|---|
| Doing Business As | DES PERES DENTAL GROUP INC |
| Entity Type | Organization |
| Authorized Contact | DONALD GLENN RICHARDSON VP 314-822-3868 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MO 12234) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: MO 12222) |
| Enumeration Date | 2007-01-09 |
| Last Update Date | 2020-08-22 |