NPI | 1164455242 |
---|---|
Entity Type | Organization |
Authorized Contact | HUGH HERSCHEL BRUNER President 913-469-1612 |
Organization Subpart ? | No |
Primary Taxonomy | 1223P0300X Dentist, Periodontics (Licence: KS 4109) |
Enumeration Date | 2006-07-09 |
Last Update Date | 2020-08-22 |