| NPI | 1720366594 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVEN B. RAPHAEL President 913-723-1313 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223E0200X Dentist, Endodontics (Licence: IL 019.028222) |
| Enumeration Date | 2011-07-28 |
| Last Update Date | 2011-07-28 |