| 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 |