| 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 |