NPI | 1295998144 |
---|---|
Entity Type | Organization |
Authorized Contact | DAVID SCOTT THOMAS President 816-781-5437 |
Organization Subpart ? | No |
Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: MO 2005034207) |
Enumeration Date | 2008-07-09 |
Last Update Date | 2008-07-09 |