| NPI | 1548378128 |
|---|---|
| Doing Business As | BARRY ROAD DENTAL GROUP |
| Entity Type | Organization |
| Authorized Contact | TIMOTHY J ALTENBURG President 816-587-0600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MO 013242) |
| Enumeration Date | 2006-08-25 |
| Last Update Date | 2020-08-22 |