| NPI | 1144661851 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID E DYKHOUSE Owner 816-229-0444 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2013-07-10 |
| Last Update Date | 2013-07-10 |