| NPI | 1376599373 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CLIFFORD VIRGIL ANDERSON President 816-353-7200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Additional Taxonomies | 1223P0221X Dentist, Pediatric Dentistry |
| Enumeration Date | 2006-05-25 |
| Last Update Date | 2008-02-26 |