| NPI | 1174291108 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RANDAL SILVER Owner 816-610-9303 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies Customized Equipment |
| Additional Taxonomies | 122300000X Dentist |
| Enumeration Date | 2021-09-03 |
| Last Update Date | 2021-11-03 |