| NPI | 1861263998 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINDA ESLER Office Manager 816-459-0000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Additional Taxonomies | 208000000X Pediatrics |
| Enumeration Date | 2024-01-09 |
| Last Update Date | 2024-01-24 |