| NPI | 1871600049 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RONALD W ALEXANDER Owner 816-478-2036 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MO 12880) |
| Enumeration Date | 2006-08-24 |
| Last Update Date | 2022-07-21 |