| NPI | 1740793181 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL BOCK Dentist/Owner 913-385-2324 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: KS 60703) |
| Enumeration Date | 2017-11-07 |
| Last Update Date | 2018-03-17 |