NPI | 1952617557 |
---|---|
Entity Type | Organization |
Authorized Contact | KATHI JO MATTHES Dentist 816-524-3734 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MO 016020) |
Enumeration Date | 2010-08-20 |
Last Update Date | 2010-08-20 |