NPI | 1023477304 |
---|---|
Doing Business As | CROSSROADS DENTISTRY |
Entity Type | Organization |
Authorized Contact | J DANIEL FLEMING Owner 816-841-0206 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MO 14474) |
Enumeration Date | 2016-02-16 |
Last Update Date | 2016-02-16 |