NPI | 1962890319 |
---|---|
Other Name | CHESTERFIELD HILLTOWN DENTAL |
Entity Type | Organization |
Authorized Contact | ANDREW R. BRUENING Dentist 636-532-3311 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: MO 2014016766) |
Enumeration Date | 2015-01-07 |
Last Update Date | 2015-01-07 |