| NPI | 1215274352 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAWN LAREE BERKVAM Dentist/Owner 913-254-1300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: KS 2077769) |
| Enumeration Date | 2013-01-09 |
| Last Update Date | 2013-01-09 |