| NPI | 1407561590 |
|---|---|
| Doing Business As | KIDSPACE PEDIATRIC DENTISTRY PARTNERSHIP |
| Entity Type | Organization |
| Authorized Contact | JULIE LE Practice Administrator 316-684-2100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry |
| Additional Taxonomies | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2023-01-23 |
| Last Update Date | 2023-01-23 |