| NPI | 1952559866 |
|---|---|
| Doing Business As | CHESTERFIELD ORTHODONTICS |
| Entity Type | Organization |
| Authorized Contact | BRENT DEE BANKHEAD President 636-778-9345 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: MO 015876) |
| Enumeration Date | 2008-09-04 |
| Last Update Date | 2008-09-04 |