| NPI | 1932469731 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHERINE ROSHANAK APTE Dentist/Partner 314-968-3533 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: MO 2004030612) |
| Additional Taxonomies | 122300000X Dentist (Licence: MO 2004034574) |
| Enumeration Date | 2012-05-25 |
| Last Update Date | 2012-05-25 |