| NPI | 1699815886 |
|---|---|
| Doing Business As | MYDENTIST |
| Entity Type | Organization |
| Authorized Contact | TREVOR CLEMONS Dds, Pc 816-421-6065 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MO 015887) |
| Enumeration Date | 2007-02-07 |
| Last Update Date | 2020-08-22 |