| NPI | 1255673851 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RYAN DEAN TAYLOR Owner 913-333-5085 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: KS 60918) |
| Enumeration Date | 2013-03-21 |
| Last Update Date | 2021-10-14 |