| NPI | 1295101335 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN CARTER-O'SHEA Dentist/Owner 816-792-4649 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| Enumeration Date | 2015-08-12 |
| Last Update Date | 2015-08-12 |