| NPI | 1336368364 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GLENN V HEMBERGER President 913-345-0331 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: KS 4921) |
| Enumeration Date | 2007-04-25 |
| Last Update Date | 2020-08-22 |