| NPI | 1255345682 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RALPH K RUCKMAN Dentist 816-373-8002 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MO 14192) |
| Enumeration Date | 2006-07-28 |
| Last Update Date | 2020-08-22 |