| NPI | 1760962260 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NEIL C. KANNING Doctor 816-781-8585 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2018-08-15 |
| Last Update Date | 2018-08-15 |