NPI | 1295773638 |
---|---|
Doing Business As | KCU ORAL HEALTH CENTER |
Entity Type | Organization |
Authorized Contact | MARLA LAVAL Director Finance And Clinic Admin 417-208-0805 |
Organization Subpart ? | No |
Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
Enumeration Date | 2006-06-04 |
Last Update Date | 2024-07-02 |