| NPI | 1629580063 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEEANN RICHARDS BEHRENS Owner Dentist 913-299-6699 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: KS 6422) |
| Enumeration Date | 2017-10-25 |
| Last Update Date | 2017-10-25 |