| NPI | 1790895043 |
|---|---|
| Former Legal Business Name | DRS ELIAS & OPDAHL DDS PC |
| Entity Type | Organization |
| Authorized Contact | KIRK J OPDAHL Dentist 816-478-3600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: MO 015713) |
| Additional Taxonomies | 122300000X Dentist (Licence: MO 013098) |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2014-03-13 |