| NPI | 1134520570 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEVIN MICHAEL MCNAMARA Owner 816-331-9100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MO 15012) |
| Enumeration Date | 2014-09-04 |
| Last Update Date | 2014-09-04 |