NPI | 1336427582 |
---|---|
Doing Business As | ADVANCED EDUCATION IN GENERAL DENTISTRY |
Entity Type | Organization |
Authorized Contact | JO DENISE CLEPPER Practice Administrator 316-978-5662 |
Organization Subpart ? | Yes |
Primary Taxonomy | 1223G0001X Dentist, General Practice |
Enumeration Date | 2011-07-21 |
Last Update Date | 2011-07-21 |