NPI | 1689998528 |
---|---|
Entity Type | Organization |
Authorized Contact | ADRIAN MOHN Partner 913-402-8888 |
Organization Subpart ? | Yes |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: KS 60742) |
Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: KS 60346) |
Enumeration Date | 2010-03-22 |
Last Update Date | 2010-03-22 |