| NPI | 1861410748 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOEL WILLIAM MARSH Office Manager 816-756-5600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MO 15158) |
| Enumeration Date | 2006-07-18 |
| Last Update Date | 2020-08-22 |