| NPI | 1245634443 |
|---|---|
| Doing Business As | IMMEDIADENT |
| Entity Type | Organization |
| Authorized Contact | ALLEE ANDREA MERTES Manager Of Compliance 913-428-1674 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Enumeration Date | 2014-10-17 |
| Last Update Date | 2014-10-17 |