| NPI | 1497958250 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL S HOLLINGSWORTH Dentist 816-232-8788 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MO 14033) |
| Enumeration Date | 2007-06-08 |
| Last Update Date | 2020-08-22 |