| NPI | 1114234929 |
|---|---|
| Doing Business As | COMFORT DENTAL WALDO |
| Entity Type | Organization |
| Authorized Contact | SHELBY APPLEGATE Owner 816-461-2273 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center Dental |
| Enumeration Date | 2010-09-01 |
| Last Update Date | 2010-09-01 |