| NPI | 1205304540 |
|---|---|
| Doing Business As | NORTHLAND FAMILY DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | JOHN A. DEAKINS Owner 816-781-7280 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2018-11-05 |
| Last Update Date | 2018-11-05 |