| NPI | 1053356956 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSE' RAFAEL RODRIGUEZ Owner/President 913-631-5600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: KS 60039) |
| Enumeration Date | 2006-06-17 |
| Last Update Date | 2020-08-22 |