| NPI | 1740014174 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JILLIAN HUFFMAN Owner, Orthodontist 816-401-1483 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2024-08-28 |
| Last Update Date | 2024-08-28 |