NPI | 1225785454 |
---|---|
Entity Type | Organization |
Authorized Contact | RAVI RAJANNA Orthodontist 816-373-0300 |
Organization Subpart ? | No |
Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
Enumeration Date | 2022-03-08 |
Last Update Date | 2023-01-25 |