NPI | 1023217312 |
---|---|
Doing Business As | BREUCKMANN & ROSS, DDS, PA |
Entity Type | Organization |
Authorized Contact | KARL ALAN BREUCKMANN President 913-782-6533 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice |
Enumeration Date | 2007-07-16 |
Last Update Date | 2007-07-16 |