| NPI | 1538333224 |
|---|---|
| Doing Business As | IMMEDIADENT |
| Entity Type | Organization |
| Authorized Contact | JADA HUSS Credentialing Coordinator 816-268-8340 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2008-04-15 |
| Last Update Date | 2008-04-15 |