NPI | 1679945570 |
---|---|
Other Name | RED BRIDGE FAMILY DENTAL |
Entity Type | Organization |
Authorized Contact | SANDI WEINZATL Office Manager 816-943-0600 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MO 13501) |
Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: MO 15370) |
Enumeration Date | 2015-10-30 |
Last Update Date | 2015-10-30 |