| NPI | 1912377581 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROL STEUBER Office Manager 636-239-5151 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2015-09-25 |
| Last Update Date | 2023-01-17 |