NPI | 1962993246 |
---|---|
Doing Business As | MCCLURE FAMILY DENTISTRY |
Entity Type | Organization |
Authorized Contact | TODD J WIND Owner 314-843-3300 |
Organization Subpart ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: MO 2001011238) |
Enumeration Date | 2018-05-23 |
Last Update Date | 2018-05-23 |