| NPI | 1780702670 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GEORGE ROBERT RUWWE President 816-232-2763 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MO 014696) |
| Enumeration Date | 2007-03-27 |
| Last Update Date | 2020-08-22 |