| NPI | 1023864824 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTA SHEHAN Vice President Of Operations 816-674-9796 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2024-04-24 |
| Last Update Date | 2024-04-24 |