| NPI | 1205960796 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRADLEY JOSEPH SMITH President 816-524-4880 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MO 15223) |
| Enumeration Date | 2007-03-15 |
| Last Update Date | 2020-08-22 |