| 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 |