| NPI | 1295819951 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN KEVIN MOWRY President 913-894-9962 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0300X Dentist, Periodontics (Licence: KS 7104, 7097) |
| Enumeration Date | 2006-10-25 |
| Last Update Date | 2020-08-22 |