NPI | 1366503211 |
---|---|
Entity Type | Organization |
Authorized Contact | NEIL BHARGAVA Owner 316-630-0002 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: KS 60182) |
Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: KS 60181) |
Enumeration Date | 2006-12-13 |
Last Update Date | 2020-08-22 |