| NPI | 1710258306 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL ROBERT GILSTRAP Owner 913-491-4516 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: KS 60902) |
| Enumeration Date | 2012-01-13 |
| Last Update Date | 2012-01-13 |