| NPI | 1932552528 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GERARD FELDHAUS President 816-454-0377 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist Pediatric Dentistry (Licence: MO 013663) |
| Enumeration Date | 2016-07-19 |
| Last Update Date | 2016-07-19 |