| NPI | 1083753917 |
|---|---|
| Doing Business As | LANDRETH TEAM DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | ESTEL LEE LANDRETH Dentist 316-685-9276 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2007-02-06 |
| Last Update Date | 2008-06-23 |