| NPI | 1083943963 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALICE WEBSTER Office Manager 816-741-8881 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: MO 015672) |
| Enumeration Date | 2009-12-23 |
| Last Update Date | 2009-12-23 |