| NPI | 1346532645 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONALD MARK MONHEISER Owner 816-229-3828 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: MO 13892) |
| Enumeration Date | 2011-05-05 |
| Last Update Date | 2011-05-05 |