NPI | 1003917865 |
---|---|
Doing Business As | BURK ENNIS ALLEN PANNELL & MARKLE ORAL & MAXILLOFACIAL SURGEONS PC |
Entity Type | Organization |
Authorized Contact | ROBERT L ENNIS President 816-254-2345 |
Organization Subpart ? | No |
Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery |
Enumeration Date | 2006-09-26 |
Last Update Date | 2013-07-25 |