| NPI | 1295719417 |
|---|---|
| Doing Business As | FENDER FAMILY DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | ROGER LOREN FENDER Owner 816-524-3434 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: MO MO 14150) |
| Enumeration Date | 2005-12-01 |
| Last Update Date | 2020-08-22 |