| NPI | 1598962003 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOAN ROULSTON WALKER CEO 816-795-5626 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MO MO015528) |
| Enumeration Date | 2007-06-28 |
| Last Update Date | 2020-08-22 |