| NPI | 1679659536 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LARRY G. KANNING President 816-296-3252 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: MO 011458) |
| Enumeration Date | 2006-10-31 |
| Last Update Date | 2008-04-09 |