Spirit Dental, LLC

NPI #1710182183 in Chesterfield, Missouri

Provider Information

NPI Number
1710182183
Entity Type
Organization
Organization Name
Spirit Dental, LLC
Primary Specialty
Dentist - General Practice
Enumeration Date
Jun 18, 2007
Last Updated
Aug 25, 2009

Practice Location

Address
109 LONG RD
ZIP Code
63005
Phone
(636) 530-7260

Authorized Official

Name
DR. JACK E. WOLF, D.M.D.
Title
OWNER
Phone
(636) 530-7260

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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