| NPI | 1073662227 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES GARRETT BUNTON Owner 816-753-2664 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MO 12255) |
| Enumeration Date | 2007-01-09 |
| Last Update Date | 2020-08-22 |