NPI | 1477123586 |
---|---|
Doing Business As | HAPPY ROCK DENTAL |
Entity Type | Organization |
Authorized Contact | KYLE KEPLER Dentist 816-804-2090 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice |
Enumeration Date | 2021-06-30 |
Last Update Date | 2021-07-26 |