| NPI | 1235477688 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KONNIE C. LUTZ Practice Administrator 913-782-2207 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: KS 5859) |
| Enumeration Date | 2013-01-18 |
| Last Update Date | 2013-01-18 |