| NPI | 1861794109 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFF THOMPSON Owner 913-681-8300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: KS 6569) |
| Enumeration Date | 2010-11-18 |
| Last Update Date | 2010-11-18 |