| NPI | 1679880124 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GLYNN STEPHEN SPENCER Owner 816-607-6000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: MO 2000161231) |
| Enumeration Date | 2010-09-04 |
| Last Update Date | 2010-09-04 |