NPI | 1992197420 |
---|---|
Entity Type | Organization |
Authorized Contact | WILLIAM MICHAEL DUENSING Owner 816-842-3314 |
Organization Subpart ? | No |
Primary Taxonomy | 261QD0000X Clinic/Center Dental (Licence: MO 2008014725) |
Enumeration Date | 2015-02-20 |
Last Update Date | 2015-02-20 |