| NPI | 1518448612 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RONALD CHARITY Owner/Dentist 913-888-0005 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment (Licence: KS 61126) |
| Additional Taxonomies | 122300000X Dentist (Licence: KS 61126) |
| Enumeration Date | 2018-08-27 |
| Last Update Date | 2018-08-27 |