| NPI | 1356612188 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM PATRICK RYAN Owner 913-764-5703 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: KS 7034) |
| Enumeration Date | 2012-01-25 |
| Last Update Date | 2012-01-25 |