| NPI | 1285808840 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBRA S ENGLEBRAKE Office Manager 816-561-2800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MO 11576) |
| Enumeration Date | 2008-04-15 |
| Last Update Date | 2008-04-15 |