| NPI | 1396994216 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KYONG-A KONG Owner/Dentist 816-257-3720 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: MO 2004000867) |
| Enumeration Date | 2008-09-16 |
| Last Update Date | 2008-09-16 |