| NPI | 1861846420 |
|---|---|
| Doing Business As | CENTRAL AVE DENTAL |
| Entity Type | Organization |
| Authorized Contact | MATHEW H DRAPER Dds 913-342-5280 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: KS 61292) |
| Enumeration Date | 2016-04-20 |
| Last Update Date | 2016-04-20 |