NPI | 1881765089 |
---|---|
Entity Type | Organization |
Authorized Contact | JAMES ROBERT BONO President 816-436-5900 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MO 011575) |
Enumeration Date | 2006-11-11 |
Last Update Date | 2020-08-22 |