| NPI | 1922123652 |
|---|---|
| Doing Business As | ADVANCED FAMILY DENTAL |
| Entity Type | Organization |
| Authorized Contact | TERRY R EGAN Member 314-739-3300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Enumeration Date | 2007-03-20 |
| Last Update Date | 2020-08-22 |