| NPI | 1942330477 |
|---|---|
| Former Legal Business Name | KIDS PLASTIC SURGERY, LLC |
| Entity Type | Organization |
| Authorized Contact | KERRY DUNGER Executive Director Finance 314-364-3707 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 2086S0122X Surgery, Plastic and Reconstructive Surgery |
| Enumeration Date | 2007-03-06 |
| Last Update Date | 2025-04-25 |