| NPI | 1013369115 |
|---|---|
| Doing Business As | GRAY DUCK DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | TEDDY KK ROGERS Director 816-572-1973 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center Dental |
| Enumeration Date | 2016-07-13 |
| Last Update Date | 2016-07-13 |