| NPI | 1700403722 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIAN HOLLABAUGH Oral And Maxillofacial Surgeon 816-598-8166 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist Oral and Maxillofacial Surgery |
| Enumeration Date | 2020-06-26 |
| Last Update Date | 2020-06-26 |