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 |