| NPI | 1679066690 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD BENJAMIN ALVAREZ Owner/Dentist 417-737-3345 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: MO 2014018213) |
| Enumeration Date | 2018-06-13 |
| Last Update Date | 2018-06-13 |