| NPI | 1467507400 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL ISEMAN Doctor 316-630-0090 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: KS 1223PO221X) |
| Enumeration Date | 2007-01-23 |
| Last Update Date | 2020-08-22 |