NPI | 1932384393 |
---|---|
Entity Type | Organization |
Authorized Contact | KEVIN M. KILLIAN President 636-970-2699 |
Organization Subpart ? | No |
Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: MO 14633) |
Enumeration Date | 2008-01-04 |
Last Update Date | 2008-01-04 |