NPI | 1073550414 |
---|---|
Entity Type | Organization |
Authorized Contact | LOUIS LLOYD LOOS Owner/Dentist 816-795-7007 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MO 12838) |
Enumeration Date | 2006-06-02 |
Last Update Date | 2020-08-22 |