NPI | 1700890332 |
---|---|
Entity Type | Organization |
Authorized Contact | LARRY S JACOBSON President 816-444-7787 |
Organization Subpart ? | No |
Primary Taxonomy | 1223P0300X Dentist, Periodontics (Licence: MO 9994-216) |
Enumeration Date | 2006-07-28 |
Last Update Date | 2020-08-22 |