| NPI | 1982750923 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SANDY MESCHEDE Office Manager 636-937-6565 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MO 016102) |
| Enumeration Date | 2007-01-25 |
| Last Update Date | 2020-08-22 |