| NPI | 1114191418 |
|---|---|
| Doing Business As | EAST RIDGE FAMILY DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | KOLE KRASNIQI President 816-786-1132 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2008-04-17 |
| Last Update Date | 2008-04-17 |