| NPI | 1609246404 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM S RASBAND Dentist 816-651-7743 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: KS 61136) |
| Additional Taxonomies | 1223G0001X Dentist General Practice (Licence: KS 60660) |
| 1223G0001X Dentist General Practice (Licence: KS 5311) | |
| Enumeration Date | 2015-10-06 |
| Last Update Date | 2015-10-06 |