| NPI | 1053848374 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MONCY MATHEW Owner/Dentist 816-256-0073 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: MO 2006037222) |
| Enumeration Date | 2017-05-17 |
| Last Update Date | 2022-07-21 |