| NPI | 1336420314 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAWN LAREE BERKVAN Owner/Dentist 913-254-1300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: KS KS.60379) |
| Enumeration Date | 2011-09-02 |
| Last Update Date | 2011-09-02 |