| NPI | 1871987545 |
|---|---|
| Doing Business As | SHAWNEE MODERN DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | PARDEEP GILL Owner 913-631-0866 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2015-03-20 |
| Last Update Date | 2022-05-11 |