NPI | 1720264187 |
---|---|
Doing Business As | ROBERT DAVIS, DDS |
Entity Type | Organization |
Authorized Contact | ROBERT M DAVIS Owner 816-522-3549 |
Organization Subpart ? | No |
Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: MO 2006014398) |
Enumeration Date | 2008-01-16 |
Last Update Date | 2008-01-16 |