| NPI | 1275657496 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL DANLEY General Manager 913-685-9111 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: KS 6166) |
| Enumeration Date | 2007-03-16 |
| Last Update Date | 2020-08-22 |