| NPI | 1114485794 |
|---|---|
| Doing Business As | DERBY MODERN DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | NICHOLAS BELL Owner 316-416-6057 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Enumeration Date | 2019-03-04 |
| Last Update Date | 2019-03-04 |