Thomas L Crain, DDS Valid NPI

Individual provider · General Practice Dentistry · Kansas City, MO

NPI

1033270285

Type

Individual (Type 1)

Primary specialty

General Practice Dentistry (Dentist)

Specialty group

Dental Providers

Taxonomy code

1223G0001X

License number

DEO15042 (MO)

Sex

Male

Sole proprietor

Yes

Enumerated

2006-12-12

Last updated

2007-07-08