NPI | 1245645548 |
---|---|
Doing Business As | CARRIAGE FAMILY DENTAL |
Entity Type | Organization |
Authorized Contact | MICHAEL CONRAD JOURNEE Owner 913-682-2595 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: KS 60842) |
Additional Taxonomies | 122300000X Dentist (Licence: KS 60997) |
Enumeration Date | 2014-06-25 |
Last Update Date | 2014-06-25 |