| NPI | 1639494214 |
|---|---|
| Doing Business As | PERIODONTAL SPECIALISTS |
| Entity Type | Organization |
| Authorized Contact | SUSAN FREEMAN Insurance Coordinator 913-663-4867 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0300X Dentist, Periodontics (Licence: MO 015600) |
| Enumeration Date | 2010-04-07 |
| Last Update Date | 2010-04-07 |