Carrollwood Dental Group Llc Valid NPI

Organization · General Practice Dentistry · Bridgeton, MO

NPI

1821216060

Type

Organization (Type 2)

Primary specialty

General Practice Dentistry (Dentist)

Specialty group

Dental Providers

Taxonomy code

1223G0001X

License number

2003012113 (MO)

Enumerated

2007-04-23

Last updated

2020-08-22