NPI | 1407571516 |
---|---|
Doing Business As | RIDGEVIEW FAMILY DENTAL |
Entity Type | Organization |
Authorized Contact | JASON L KINGSOLVER Dentist 816-853-2339 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice |
Enumeration Date | 2022-10-11 |
Last Update Date | 2022-10-11 |