| NPI | 1497225643 |
|---|---|
| Doing Business As | CEDAR PLACE DENTAL |
| Entity Type | Organization |
| Authorized Contact | NICKIE L. PERRY President 913-764-6367 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2018-11-30 |
| Last Update Date | 2018-11-30 |