| NPI | 1184108672 |
|---|---|
| Doing Business As | BLUE SPRINGS DENTAL |
| Entity Type | Organization |
| Authorized Contact | SCOT KESSLER Business Manager 816-792-8030 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2018-09-20 |
| Last Update Date | 2018-09-20 |