| NPI | 1649471186 |
|---|---|
| Doing Business As | NORTHWEST ENDODONTICS |
| Entity Type | Organization |
| Authorized Contact | RYAN MITCHELL WALKER President 816-364-4422 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223E0200X Dentist Endodontics (Licence: MO 2003011564) |
| Additional Taxonomies | 1223E0200X Dentist Endodontics (Licence: MO 2004009677) |
| Enumeration Date | 2007-05-31 |
| Last Update Date | 2020-08-22 |