| NPI | 1801277165 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATTHEW NOYCE Orthodontist 913-416-4661 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist Orthodontics and Dentofacial Orthopedics (Licence: KS 61100) |
| Enumeration Date | 2015-06-12 |
| Last Update Date | 2015-06-12 |