NPI | 1194912949 |
---|---|
Entity Type | Organization |
Authorized Contact | ALAN C FASHION President 816-452-4600 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MO DE015142) |
Enumeration Date | 2007-09-26 |
Last Update Date | 2013-01-23 |