| NPI | 1457157802 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAVI RAJANNA Owner/Dentist 816-373-0300 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2025-02-24 |
| Last Update Date | 2025-03-20 |