| NPI | 1164676540 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BENJAMIN ELMORE Dentist 816-279-3300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: MO 200815526) |
| Enumeration Date | 2008-11-11 |
| Last Update Date | 2014-11-25 |