| NPI | 1568890291 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN THURMOND Aegd Director 816-235-2121 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: NE 7073) |
| Enumeration Date | 2013-10-15 |
| Last Update Date | 2013-10-15 |