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 |