| NPI | 1306911607 |
|---|---|
| Former Legal Business Name | KRISTEN NIEWALD DDS LLC |
| Entity Type | Organization |
| Authorized Contact | KRISTEN KIMBERLY SCHREINER Owner 816-525-4848 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2006-11-21 |
| Last Update Date | 2024-01-19 |