| NPI | 1811333610 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELLY A FARMER Owner/Dentist 913-220-8447 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: KS 60402) |
| Enumeration Date | 2013-05-20 |
| Last Update Date | 2013-05-20 |