| NPI | 1417058926 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT CHARLES PAOLILLO Owner 816-279-3338 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: MO 012732) |
| Enumeration Date | 2006-09-26 |
| Last Update Date | 2020-08-22 |