| NPI | 1780256891 |
|---|---|
| Doing Business As | VIBRANT HEALTH - DENTAL |
| Entity Type | Organization |
| Authorized Contact | PATRICK SALLEE CEO 913-320-2607 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Additional Taxonomies | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2021-07-16 |
| Last Update Date | 2021-09-03 |