NPI | 1104351741 |
---|---|
Doing Business As | R2 CENTER FOR DENTISTRY |
Entity Type | Organization |
Authorized Contact | TY REUSSER Owner/Dentist 316-321-4222 |
Organization Subpart ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: KS 7010) |
Enumeration Date | 2017-04-20 |
Last Update Date | 2017-04-20 |