| NPI | 1730401738 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES ERIC MOORE Owner 816-795-7007 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MO 2003011849) |
| Enumeration Date | 2010-02-18 |
| Last Update Date | 2010-02-18 |