| NPI | 1770192239 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELAN SCHWARZ Owner 816-953-5400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Additional Taxonomies | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
| 122300000X Dentist | |
| 1223E0200X Dentist, Endodontics | |
| 1223P0300X Dentist, Periodontics | |
| 1223S0112X Dentist, Oral and Maxillofacial Surgery | |
| Enumeration Date | 2020-07-30 |
| Last Update Date | 2020-07-30 |