| NPI | 1396231312 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KYLE HUNTINGTON President 913-367-0212 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: KS 60199) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2018-07-02 |
| Last Update Date | 2018-07-02 |