| NPI | 1942335088 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD S GILMAN President Periodontist 816-444-8822 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0300X Dentist Periodontics (Licence: MO 012701) |
| Additional Taxonomies | 1223P0300X Dentist Periodontics (Licence: MO 2003010617) |
| Enumeration Date | 2007-02-22 |
| Last Update Date | 2020-08-22 |