| NPI | 1356533194 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTY K MAY Executive Director 816-413-9009 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Additional Taxonomies | 152W00000X Optometrist |
| 261QD0000X Clinic/Center, Dental | |
| Enumeration Date | 2007-08-15 |
| Last Update Date | 2026-07-09 |