| NPI | 1073621645 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT NORMAN HANSON President 816-373-5606 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MO 12037) |
| Enumeration Date | 2006-08-25 |
| Last Update Date | 2020-08-22 |