| NPI | 1356693063 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUNNY RAJENDRA PATEL Co Owner 913-491-1200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: KS 60806) |
| Enumeration Date | 2012-10-04 |
| Last Update Date | 2019-03-14 |