| NPI | 1144662602 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL CHRISTOPHER NIELSON President 913-780-3100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: KS 60141) |
| Enumeration Date | 2013-07-25 |
| Last Update Date | 2021-03-22 |