| NPI | 1346597069 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES H PIERSON Dentist 316-630-9339 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: KS 5979) |
| Enumeration Date | 2012-08-13 |
| Last Update Date | 2012-08-13 |