| NPI | 1043741309 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BENJAMIN UNRUH Owner 785-979-3626 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: MO 2016036717) |
| Enumeration Date | 2017-03-27 |
| Last Update Date | 2022-07-21 |