NPI | 1881091288 |
---|---|
Former Legal Business Name | RANDALL K MCVEY DMD |
Entity Type | Organization |
Authorized Contact | RANDALL KEITH MCVEY Owner 620-275-9157 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice |
Enumeration Date | 2014-12-01 |
Last Update Date | 2014-12-01 |