| NPI | 1457788135 |
|---|---|
| Doing Business As | MADISON DENTAL GROUP |
| Entity Type | Organization |
| Authorized Contact | ALEX R SHARIFIAN Owner 816-942-0033 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2013-09-26 |
| Last Update Date | 2013-09-26 |