| NPI | 1255308649 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN HUDDART Owner 816-436-2525 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MO 2001014206) |
| Enumeration Date | 2006-03-03 |
| Last Update Date | 2020-08-22 |