NPI | 1972267284 |
---|---|
Doing Business As | COMFORT DENTAL RAYTOWN |
Entity Type | Organization |
Authorized Contact | DWIGHT TIMOTHY JOHNSON Dentist 816-837-4010 |
Organization Subpart ? | No |
Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
Enumeration Date | 2021-10-25 |
Last Update Date | 2021-10-25 |