| NPI | 1144561325 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY KEVIN MA President, Manager 816-392-9869 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MO 2005015641) |
| Enumeration Date | 2013-03-13 |
| Last Update Date | 2013-03-13 |