| NPI | 1306032602 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM RUSSELL KREMERS Owner/Dentist 913-432-3112 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: KS 5725) |
| Additional Taxonomies | 1223G0001X Dentist General Practice (Licence: KS 60075) |
| Enumeration Date | 2007-09-20 |
| Last Update Date | 2007-09-20 |