| NPI | 1538553706 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATTHEW G. RIVARD Dentist/Owner 913-299-6500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: KS 61033) |
| Enumeration Date | 2015-03-25 |
| Last Update Date | 2015-03-25 |