| NPI | 1215358429 |
|---|---|
| Doing Business As | SUMMIT MODERN DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | ALEX R SHARIFIAN Owner 816-524-5752 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2013-12-16 |
| Last Update Date | 2013-12-16 |