| NPI | 1962719005 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HOLLY ANN LERMA Dentist/Owner 816-805-1599 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: AZ 7275) |
| Enumeration Date | 2010-09-10 |
| Last Update Date | 2010-09-10 |