| NPI | 1871070391 |
|---|---|
| Doing Business As | WAKARUSA FAMILY DENTAL |
| Entity Type | Organization |
| Authorized Contact | JASON C EDWARDS Dentist 816-918-0905 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: KS 60939) |
| Enumeration Date | 2018-07-26 |
| Last Update Date | 2018-07-26 |