| NPI | 1194001370 |
|---|---|
| Doing Business As | AFFORDABLE DENTAL OF LEAVENWORTH |
| Entity Type | Organization |
| Authorized Contact | M CONRAD JOURNEE Dentist/Owner 816-392-3112 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: KS 60842) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: KS 7100) |
| Enumeration Date | 2011-11-01 |
| Last Update Date | 2011-11-01 |