NPI | 1114174752 |
---|---|
Former Legal Business Name | EVERS DENTAL |
Entity Type | Organization |
Authorized Contact | GERALD BRENT EVERS Owner 816-741-2333 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MO 2007016116) |
Enumeration Date | 2008-08-26 |
Last Update Date | 2008-08-26 |