| 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 |