| NPI | 1447420526 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL THOMAS Periodontist 816-436-6767 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: KS 015600) |
| Enumeration Date | 2008-03-05 |
| Last Update Date | 2008-03-05 |