| NPI | 1033269436 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES P LUCERO President 913-344-9990 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: KS 60296) |
| Enumeration Date | 2007-01-11 |
| Last Update Date | 2020-08-22 |