| NPI | 1356513659 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBRA A WILKINSON Dentist 816-228-3688 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MO 2006014155) |
| Enumeration Date | 2008-03-26 |
| Last Update Date | 2008-03-26 |