| NPI | 1780056135 |
|---|---|
| Doing Business As | LIBERTY OAKS DENTAL GROUP |
| Entity Type | Organization |
| Authorized Contact | BRYAN K WATANABE Owner 816-728-2979 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2015-10-26 |
| Last Update Date | 2015-10-26 |