| NPI | 1679650295 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LARRY DEAN PRIBYL President 816-350-1007 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MO 14116) |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2020-08-22 |