| NPI | 1245370345 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULIE S. LE Office Manager 316-684-2100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist Pediatric Dentistry (Licence: KS 6522) |
| Enumeration Date | 2007-02-07 |
| Last Update Date | 2020-08-22 |