| NPI | 1972993541 |
|---|---|
| Doing Business As | BALLWIN DENTAL CARE |
| Entity Type | Organization |
| Authorized Contact | KIMBERLY DAWN SIMONDS Dentist Owner 636-227-2552 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: MO 016003) |
| Enumeration Date | 2015-02-03 |
| Last Update Date | 2015-02-03 |