| NPI | 1417088238 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD EDWARD PATRICK President 913-491-1191 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: KS 5541) |
| Enumeration Date | 2007-03-07 |
| Last Update Date | 2020-08-22 |