| NPI | 1316289424 |
|---|---|
| Doing Business As | WESTPORT PLAZA DENTAL ASSOCIATES |
| Entity Type | Organization |
| Authorized Contact | DUSTIN K MACE Owner 816-561-6150 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2013-03-27 |
| Last Update Date | 2013-03-27 |