| NPI | 1770921843 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM CHRISTOPHER BUSCH Owner/Dentist 816-471-2911 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MO 15161) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: MO 2013015430) |
| Enumeration Date | 2013-06-11 |
| Last Update Date | 2013-06-11 |