| NPI | 1699920470 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CLARENCE E. SIMMONS President 816-753-0377 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist Orthodontics and Dentofacial Orthopedics (Licence: MO 015874) |
| Enumeration Date | 2008-11-20 |
| Last Update Date | 2022-11-16 |