| NPI | 1619675907 |
|---|---|
| Doing Business As | ST. JOSEPH ADVANCED DENTAL CENTER |
| Entity Type | Organization |
| Authorized Contact | STACIA WEDDLE Insurance Specialist 816-229-4560 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2023-02-16 |
| Last Update Date | 2023-02-16 |