| NPI | 1568632206 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANN M ROEHL Office Manager 913-469-6555 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: KS 1223P0221X) |
| Enumeration Date | 2008-03-10 |
| Last Update Date | 2008-03-10 |