| NPI | 1699716506 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSE' RAFAEL RODRIGUEZ Owner/President 816-561-4555 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MO 014973) |
| Enumeration Date | 2006-06-10 |
| Last Update Date | 2020-08-22 |