| 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 |