| NPI | 1427583103 |
|---|---|
| Doing Business As | IMMEDIADENT |
| Entity Type | Organization |
| Authorized Contact | JACQUELYNN R ADKINS Sr. Accounting Manager 913-428-1684 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Enumeration Date | 2017-05-01 |
| Last Update Date | 2019-07-29 |