| NPI | 1528585700 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANNA RENEE JONES Owner/Dentist 816-820-0595 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: MO 2011014512) |
| Enumeration Date | 2017-08-28 |
| Last Update Date | 2017-08-28 |