NPI | 1215341003 |
---|---|
Doing Business As | OVERLAND PARK FAMILY DENTAL |
Entity Type | Organization |
Authorized Contact | CREIGHTON GALLAGHER Owner 913-439-4311 |
Organization Subpart ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: KS 60784) |
Enumeration Date | 2014-06-19 |
Last Update Date | 2014-06-19 |