NPI | 1952691982 |
---|---|
Entity Type | Organization |
Authorized Contact | GARY L BUZBEE Founding Partner 417-881-1388 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: MO 012276) |
Enumeration Date | 2011-04-11 |
Last Update Date | 2011-04-11 |