| NPI | 1932647591 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELISSA A SMITH Owner/Dentist 636-667-9192 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MO 2004013254) |
| Enumeration Date | 2017-02-03 |
| Last Update Date | 2017-02-03 |