| 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 |