| NPI | 1154656148 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVEN WAYNE BLUM Dentist/Owner 913-422-5066 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: KS 60323) |
| Enumeration Date | 2009-10-08 |
| Last Update Date | 2009-10-08 |