| NPI | 1588436406 |
|---|---|
| Doing Business As | KID GRINS |
| Entity Type | Organization |
| Authorized Contact | MITCHELL A. LOEB President 913-620-2958 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2023-10-24 |
| Last Update Date | 2023-10-24 |