| NPI | 1770736357 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOUGLAS MARTIN TRIPLETT Owner 816-781-1224 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MO 15033) |
| Enumeration Date | 2008-10-28 |
| Last Update Date | 2008-10-28 |