| NPI | 1255378048 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STANLEY S SCOTT Dentist 816-523-0024 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MO 12620) |
| Enumeration Date | 2006-06-01 |
| Last Update Date | 2020-08-22 |