| NPI | 1063618254 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VICTOR A QUIASON Owner 816-454-7422 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MO 13345) |
| Enumeration Date | 2007-06-25 |
| Last Update Date | 2020-08-22 |