| NPI | 1265228092 |
|---|---|
| Doing Business As | MILL CREEK DENTAL |
| Entity Type | Organization |
| Authorized Contact | MCKENZIE LEWIS General Manager 816-347-9933 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2025-04-17 |
| Last Update Date | 2025-04-17 |