| NPI | 1992910947 |
|---|---|
| Doing Business As | PARKSIDE DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | JEFFREY P. SMITH President 636-723-5423 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MO 13930) |
| Enumeration Date | 2007-05-12 |
| Last Update Date | 2007-07-15 |