| NPI | 1063517290 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SCOTT M NGUYEN Dentist/President 816-587-9500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MO 015729) |
| Enumeration Date | 2006-09-13 |
| Last Update Date | 2020-12-17 |