NPI | 1740504075 |
---|---|
Entity Type | Organization |
Authorized Contact | KIRBY HATCHER President/Dentist 816-279-1678 |
Organization Subpart ? | No |
Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: MO 13319) |
Enumeration Date | 2010-03-15 |
Last Update Date | 2010-03-15 |