Kirk Douglas Satrom, D.D.S., M.S. Valid NPI

Individual provider · Orthodontics and Dentofacial Orthopedics Dentistry · O Fallon, IL

NPI

1386788768

Type

Individual (Type 1)

Primary specialty

Orthodontics and Dentofacial Orthopedics Dentistry (Dentist)

Specialty group

Dental Providers

Taxonomy code

1223X0400X

Sex

Male

Sole proprietor

No

Enumerated

2007-02-17

Last updated

2007-07-08