NPI | 1154569762 |
---|---|
Entity Type | Organization |
Authorized Contact | DOUGLAS EUGENE HARSHBERGER Pc 816-356-6020 |
Organization Subpart ? | No |
Primary Taxonomy | 1223P0700X Dentist, Prosthodontics (Licence: MO 014864) |
Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: MO 014864) |
Enumeration Date | 2009-02-04 |
Last Update Date | 2009-02-04 |