| NPI | 1427683531 |
|---|---|
| Doing Business As | LIBERTY MODERN DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | ALEX R SHARIFIAN Owner 816-298-5019 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2020-03-09 |
| Last Update Date | 2020-03-09 |