| NPI | 1932302023 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES TAYLOR VAN BIBER President 816-350-0350 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MO 11668) |
| Enumeration Date | 2007-06-07 |
| Last Update Date | 2020-08-22 |