| NPI | 1780061192 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PETER GUIRGUIS Dentist 816-343-8295 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TX 29369) |
| Enumeration Date | 2015-05-05 |
| Last Update Date | 2015-05-05 |