| NPI | 1013904564 |
|---|---|
| Doing Business As | JOHNSON COUNTY PERIODONTICS DENTAL IMPLANTS & LASER SURGERY |
| Entity Type | Organization |
| Authorized Contact | LARA L TULL RYAN Owner 913-491-5548 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0300X Dentist, Periodontics (Licence: KS 60284) |
| Enumeration Date | 2005-09-30 |
| Last Update Date | 2016-04-27 |