| NPI | 1093325235 |
|---|---|
| Doing Business As | MAIN STREET DENTAL |
| Entity Type | Organization |
| Authorized Contact | DARPANA PATEL Owner 913-206-7734 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2020-08-03 |
| Last Update Date | 2020-08-03 |