NPI | 1306365754 |
---|---|
Doing Business As | KC COMPLETE PROSTHODONTICS |
Entity Type | Organization |
Authorized Contact | ROBERT ANDREW SPARKS Owner 660-216-2514 |
Organization Subpart ? | No |
Primary Taxonomy | 1223P0700X Dentist, Prosthodontics (Licence: KS 61139) |
Enumeration Date | 2017-09-18 |
Last Update Date | 2017-09-18 |