| NPI | 1740363977 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD E MILLER Co Owner 913-492-5052 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: KS 6127) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: KS 5770) |
| Enumeration Date | 2006-10-23 |
| Last Update Date | 2020-08-22 |