| NPI | 1417153305 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD LARRY WINBURN Owner 913-492-5180 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: KS 60062) |
| Enumeration Date | 2007-06-26 |
| Last Update Date | 2020-08-22 |