| NPI | 1760803043 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM RASBAND Dentist 816-651-7743 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CO 00201929) |
| Enumeration Date | 2014-01-03 |
| Last Update Date | 2014-01-03 |