| NPI | 1225440696 |
|---|---|
| Doing Business As | LEAVENWORTH ORAL AND MAXILLOFACIAL SURGERY |
| Entity Type | Organization |
| Authorized Contact | AARON STERLING CARD President 913-772-4334 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: KS 60935) |
| Enumeration Date | 2014-05-20 |
| Last Update Date | 2014-05-20 |