| NPI | 1932237310 |
|---|---|
| Doing Business As | DAVIS FAMILY DENTAL |
| Entity Type | Organization |
| Authorized Contact | BRIAN G DAVIS Dentist 816-943-0003 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305R00000X Preferred Provider Organization (Licence: MO 2004033307) |
| Enumeration Date | 2007-02-28 |
| Last Update Date | 2020-08-22 |