| 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 |