| NPI | 1922553940 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHELLI CRANE Office Manager 417-781-2220 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: KS 4498) |
| Enumeration Date | 2016-08-19 |
| Last Update Date | 2016-08-19 |