| NPI | 1073290219 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRANDI OLSON Ins Coordinator/Manager 816-454-6800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2023-06-29 |
| Last Update Date | 2023-06-29 |