NPI | 1619142049 |
---|---|
Entity Type | Organization |
Authorized Contact | RICHARD CAMPBELL Office Manager 816-531-2070 |
Organization Subpart ? | No |
Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: MO 015709) |
Enumeration Date | 2008-04-27 |
Last Update Date | 2013-11-07 |