| NPI | 1841456795 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BETH LYNN GEHRING President 816-220-2384 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: MO 015510) |
| Additional Taxonomies | 1223G0001X Dentist General Practice (Licence: KS 6846) |
| Enumeration Date | 2008-07-30 |
| Last Update Date | 2008-07-30 |