| NPI | 1205131174 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JASLEEN RAINA Dentist 913-548-8964 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IL 019027948) |
| Enumeration Date | 2011-01-24 |
| Last Update Date | 2011-01-24 |