NPI | 1295286474 |
---|---|
Doing Business As | REFLECTION RIDGE DENTAL |
Entity Type | Organization |
Authorized Contact | JOSHUA W DAVIS Member 316-721-2024 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: KS 60684) |
Enumeration Date | 2016-10-21 |
Last Update Date | 2017-01-16 |