| NPI | 1043699853 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHRYN STANLEY Owner/President 913-345-0331 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: KS 60472) |
| Enumeration Date | 2015-05-26 |
| Last Update Date | 2015-05-26 |