| NPI | 1578789939 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT LEE BRUNKER President 816-364-1186 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MO 013091) |
| Enumeration Date | 2007-04-17 |
| Last Update Date | 2008-06-27 |