| NPI | 1487755005 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELA B SHAFFER Office Manager 913-384-2242 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: KS 6523) |
| Enumeration Date | 2006-09-26 |
| Last Update Date | 2020-08-22 |