| NPI | 1881475275 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GEOFFREY KERNS Owner/Doctor 913-602-4423 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Additional Taxonomies | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2023-10-11 |
| Last Update Date | 2023-10-11 |