| NPI | 1376638437 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURA J HUYETT Owner 913-677-1004 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Additional Taxonomies | 1223G0001X Dentist, General Practice |
| 261QD0000X Clinic/Center, Dental (Licence: KS 60026) | |
| 261QD0000X Clinic/Center, Dental (Licence: KS 6390) | |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2022-10-17 |