| NPI | 1255370649 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT A PIERCE Co Owner 913-888-2882 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: KS 60192) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: KS 5150) |
| 1223G0001X Dentist, General Practice (Licence: KS 60696) | |
| Enumeration Date | 2006-06-04 |
| Last Update Date | 2012-02-29 |