| NPI | 1477259422 |
|---|---|
| Doing Business As | FAY PERIODONTICS |
| Entity Type | Organization |
| Authorized Contact | BUFFEY MARIE WEIGEL Administrator 913-268-9300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2023-02-01 |
| Last Update Date | 2023-02-01 |