NPI | 1194070326 |
---|---|
Entity Type | Organization |
Authorized Contact | DANIEL D KIEU President 316-612-0270 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: KS 7199) |
Enumeration Date | 2012-07-13 |
Last Update Date | 2012-07-13 |