| NPI | 1578850319 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GEOFFREY CLARK RILEY Owner 816-332-2412 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MO 2007017280) |
| Enumeration Date | 2011-06-30 |
| Last Update Date | 2011-06-30 |