| 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 |