| NPI | 1932307105 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SCOTT DOUGLAS KLOHR Dentist 314-645-1225 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MO 2005026032) |
| Enumeration Date | 2007-07-10 |
| Last Update Date | 2007-07-10 |