NPI | 1497920862 |
---|---|
Entity Type | Organization |
Authorized Contact | ROBERT E. HURST General Dentist 816-531-1477 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: MO 15119) |
Enumeration Date | 2008-04-28 |
Last Update Date | 2008-04-28 |